{"npi":"1740427178","type":"NPI-1","status":"active","name":{"display":"Sally Pendergrass CRNA","other":[],"first":"SALLY","last":"PENDERGRASS","middle":"J","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":"OK","license":"R0050582"}]},"addresses":[{"purpose":"LOCATION","street_1":"1923 S UTICA AVE","city":"TULSA","state":"OK","postal_code":"741046520","country_code":"US","phone":"9187442345"},{"purpose":"MAILING","street_1":"4500 S GARNETT RD","city":"TULSA","state":"OK","postal_code":"741465229","country_code":"US","street_2":"SUITE 300","phone":"9186649892","fax":"9183922945"}],"license":{"state":"OK","number":"R0050582"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200232940A","state":"OK","issuer":null},{"type_code":"01","label":"Other","value":"P00731722","state":"OK","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090219000568","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"OK","pac_id":"7618032962"}]},"enumeration_date":"2009-01-07","last_updated":"2009-08-25","_meta":{"source":"NPPES","snapshot_date":"2009-08-25","doc_url":"https://findmynpi.com/api"}}