{"npi":"1710691274","type":"NPI-1","status":"active","name":{"display":"Jackie Hagenbaumer","other":[],"first":"JACKIE","last":"HAGENBAUMER","middle":"FLOYD"},"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":"FL","license":"11023863"}]},"addresses":[{"purpose":"LOCATION","street_1":"655 W 8TH ST","city":"JACKSONVILLE","state":"FL","postal_code":"322096511","country_code":"US","phone":"9042440411"},{"purpose":"MAILING","street_1":"9479 HECKSCHER DR","city":"JACKSONVILLE","state":"FL","postal_code":"322262420","country_code":"US","phone":"3522144761"}],"license":{"state":"FL","number":"11023863"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230308001928","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"FL","pac_id":"0749653962"}]},"enumeration_date":"2023-01-10","last_updated":"2023-01-10","_meta":{"source":"NPPES","snapshot_date":"2023-01-10","doc_url":"https://findmynpi.com/api"}}