{"npi":"1790763233","type":"NPI-1","status":"active","name":{"display":"Mr. Mark Holmberg C.R.N.A.","other":[],"first":"MARK","last":"HOLMBERG","middle":"R","credential":"C.R.N.A."},"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":false,"state":"MN","license":"R 154503-0"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"WA","license":"AP30007744"}]},"addresses":[{"purpose":"LOCATION","street_1":"1100 9TH AVE","city":"SEATTLE","state":"WA","postal_code":"981012756","country_code":"US","phone":"2062236980","fax":"2062236982"},{"purpose":"MAILING","street_1":"2415 WESTERN AVE","city":"SEATTLE","state":"WA","postal_code":"981211394","country_code":"US","street_2":"APT 503","phone":"6127415259"}],"license":{"state":"WA","number":"AP30007744"},"identifiers":[{"type_code":"01","label":"Other","value":"5069HO","state":"WA","issuer":"BLUE SHIELD #"},{"type_code":"01","label":"Other","value":"RNA0011","state":"WA","issuer":"ALASKA DSHS"},{"type_code":"01","label":"Other","value":"P00444040","state":"WA","issuer":"RAILROAD MC #"},{"type_code":"05","label":"Medicaid","value":"9653981","state":"WA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20070907000191","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"WA","pac_id":"8426072950"}]},"enumeration_date":"2006-01-05","last_updated":"2015-03-12","_meta":{"source":"NPPES","snapshot_date":"2015-03-12","doc_url":"https://findmynpi.com/api"}}