{"npi":"1649314204","type":"NPI-1","status":"active","name":{"display":"Gary Sturtevant CRNA","other":[],"first":"GARY","last":"STURTEVANT","middle":"T.","credential":"CRNA"},"specialty":{"primary_taxonomy":"367500000X","primary_taxonomy_description":"Certified Registered Nurse Anesthetist","slug":"certified-registered-nurse-anesthetist","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"MO","license":"139645"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"MO","license":"2011004383"}]},"addresses":[{"purpose":"LOCATION","street_1":"1102 W 32ND ST","city":"JOPLIN","state":"MO","postal_code":"648043503","country_code":"US","phone":"4173471078","fax":"4173471079"},{"purpose":"MAILING","street_1":"PO BOX 3810","city":"JOPLIN","state":"MO","postal_code":"648033810","country_code":"US","phone":"4173473649","fax":"4173479106"}],"license":{"state":"MO","number":"2011004383"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"429043912","state":"MO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110419000210","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"MO","pac_id":"2264493154"},{"enrlmt_id":"I20171228002459","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"TX","pac_id":"2264493154"}]},"enumeration_date":"2007-02-16","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}