{"npi":"1639617152","type":"NPI-1","status":"active","name":{"display":"Amy Leightner CRNA","other":[{"code":"1","type":"Formerly known as","value":"HENDRIKSMA, AMY LYNN"}],"first":"AMY","last":"LEIGHTNER","middle":"LYNN","credential":"CRNA"},"specialty":{"primary_taxonomy":"367500000X","primary_taxonomy_description":"Certified Registered Nurse Anesthetist","slug":"certified-registered-nurse-anesthetist","schema_org_specialty":null,"all":[{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"MI","license":"4704239300"}]},"addresses":[{"purpose":"LOCATION","street_1":"1500 E MEDICAL CENTER DR","city":"ANN ARBOR","state":"MI","postal_code":"481095000","country_code":"US","phone":"7349364000"},{"purpose":"MAILING","street_1":"3621 S STATE ST","city":"ANN ARBOR","state":"MI","postal_code":"481081633","country_code":"US","phone":"7346475299"}],"license":{"state":"MI","number":"4704239300"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170407000522","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"MI","pac_id":"6709162613"}]},"enumeration_date":"2017-02-03","last_updated":"2024-11-20","_meta":{"source":"NPPES","snapshot_date":"2024-11-20","doc_url":"https://findmynpi.com/api"}}