{"npi":"1659095958","type":"NPI-1","status":"active","name":{"display":"Mr. Juan Mendez C.R.N.A.","other":[],"first":"JUAN","last":"MENDEZ","middle":"PABLO","credential":"C.R.N.A."},"specialty":{"primary_taxonomy":"367500000X","primary_taxonomy_description":"Certified Registered Nurse Anesthetist","slug":"certified-registered-nurse-anesthetist","schema_org_specialty":null,"all":[{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"KS","license":"147049"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":false,"state":"OK","license":"222401"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"KS","license":"558042"}]},"addresses":[{"purpose":"LOCATION","street_1":"6505 E. CENTRAL, SUITE 288","city":"WICHITA","state":"KS","postal_code":"672061924","country_code":"US","phone":"3167898444","fax":"3167898444"},{"purpose":"MAILING","street_1":"13716 E. MAINSGATE ST.","city":"WICHITA","state":"KS","postal_code":"672288049","country_code":"US","phone":"2105280047"}],"license":{"state":"KS","number":"558042"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20221201001916","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"KS","pac_id":"1850769480"},{"enrlmt_id":"I20250320000720","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"OK","pac_id":"1850769480"}]},"enumeration_date":"2022-09-29","last_updated":"2025-03-24","_meta":{"source":"NPPES","snapshot_date":"2025-03-24","doc_url":"https://findmynpi.com/api"}}