{"npi":"1790777084","type":"NPI-1","status":"active","name":{"display":"Rachel Roller CRNA","other":[],"first":"RACHEL","last":"ROLLER","middle":"C","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":false,"state":"TN","license":"RN0000122629"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"VA","license":"0024193694"}]},"addresses":[{"purpose":"LOCATION","street_1":"601 MED TECH PKWY","city":"JOHNSON CITY","state":"TN","postal_code":"376042253","country_code":"US","phone":"4236101020"},{"purpose":"MAILING","street_1":"1009 LARK ST STE 2","city":"JOHNSON CITY","state":"TN","postal_code":"376048218","country_code":"US","phone":"4232830776","fax":"4239685697"}],"license":{"state":"VA","number":"0024193694"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"3631531","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20101203000906","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"TN","pac_id":"5597952481"},{"enrlmt_id":"I20250725003331","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"VA","pac_id":"5597952481"}]},"enumeration_date":"2005-08-22","last_updated":"2025-06-18","_meta":{"source":"NPPES","snapshot_date":"2025-06-18","doc_url":"https://findmynpi.com/api"}}