{"npi":"1669428447","type":"NPI-1","status":"active","name":{"display":"Mr. John Allen CRNA","other":[],"first":"JOHN","last":"ALLEN","middle":"WYNN","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":"CA","license":"NA572"}]},"addresses":[{"purpose":"LOCATION","street_1":"2755 HERNDON AVE","city":"CLOVIS","state":"CA","postal_code":"936116800","country_code":"US","phone":"5593244000"},{"purpose":"MAILING","street_1":"PO BOX 7096","city":"STOCKTON","state":"CA","postal_code":"952670096","country_code":"US","phone":"2099567725","fax":"2099567733"}],"license":{"state":"CA","number":"NA572"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"RN2929100","state":"CA","issuer":null},{"type_code":"01","label":"Other","value":"NA572","state":"CA","issuer":"BS OF CA"},{"type_code":"01","label":"Other","value":"430079068","state":"CA","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041213001118","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"CA","pac_id":"3971560756"}]},"enumeration_date":"2006-05-25","last_updated":"2013-04-19","_meta":{"source":"NPPES","snapshot_date":"2013-04-19","doc_url":"https://findmynpi.com/api"}}