{"npi":"1750554358","type":"NPI-1","status":"active","name":{"display":"Lisa Earlywine CRNA","other":[{"code":"1","type":"Formerly known as","value":"TELLINGHUISEN, LISA"}],"first":"LISA","last":"EARLYWINE","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":"FL","license":"ARNP3200322"}]},"addresses":[{"purpose":"LOCATION","street_1":"303 N CLYDE MORRIS BLVD","city":"DAYTONA BEACH","state":"FL","postal_code":"321142709","country_code":"US","phone":"3862544000","fax":"3862313695"},{"purpose":"MAILING","street_1":"PO BOX 100254","city":"GAINESVILLE","state":"FL","postal_code":"326100254","country_code":"US","phone":"3862544000"}],"license":{"state":"FL","number":"ARNP3200322"},"identifiers":[{"type_code":"01","label":"Other","value":"PENDING","state":"FL","issuer":"BCBS"},{"type_code":"05","label":"Medicaid","value":"PENDING","state":"FL","issuer":null},{"type_code":"05","label":"Medicaid","value":"309101500","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080924000659","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"FL","pac_id":"4486726429"},{"enrlmt_id":"I20250905000955","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"KY","pac_id":"4486726429"}]},"enumeration_date":"2008-04-04","last_updated":"2023-11-21","_meta":{"source":"NPPES","snapshot_date":"2023-11-21","doc_url":"https://findmynpi.com/api"}}