{"npi":"1699757492","type":"NPI-1","status":"active","name":{"display":"Tom Pankratz CRNA","other":[],"first":"TOM","last":"PANKRATZ","middle":"R","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":"WI","license":"042315"}]},"addresses":[{"purpose":"LOCATION","street_1":"707 14TH ST","city":"BARABOO","state":"WI","postal_code":"539131539","country_code":"US","phone":"6083561400"},{"purpose":"MAILING","street_1":"707 14TH ST","city":"BARABOO","state":"WI","postal_code":"539131539","country_code":"US","phone":"6083561400"}],"license":{"state":"WI","number":"042315"},"identifiers":[{"type_code":"01","label":"Other","value":"1009390","state":"WI","issuer":"PHYS PLUS PROV #"},{"type_code":"01","label":"Other","value":"551896","state":"WI","issuer":"DEANCARE PROV #"},{"type_code":"01","label":"Other","value":"388407992","state":"WI","issuer":"TRICARE PROV #"},{"type_code":"01","label":"Other","value":"430054481","state":"WI","issuer":"RR MEDICARE PROV #"},{"type_code":"01","label":"Other","value":"391023846","state":"WI","issuer":"COMMERCIAL INS PROV #"},{"type_code":"05","label":"Medicaid","value":"43322800","state":"WI","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-11-17","last_updated":"2010-03-09","_meta":{"source":"NPPES","snapshot_date":"2010-03-09","doc_url":"https://findmynpi.com/api"}}