{"npi":"1861844003","type":"NPI-1","status":"active","name":{"display":"Dr. Jeevan Bhatta CRNA","other":[],"first":"JEEVAN","last":"BHATTA","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":"AL","license":"1-121107"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"MO","license":"2024020912"}]},"addresses":[{"purpose":"LOCATION","street_1":"4430 MISSOURI AVE","city":"FORT LEONARD WOOD","state":"MO","postal_code":"654739098","country_code":"US","phone":"5735960417"},{"purpose":"MAILING","street_1":"4430 MISSOURI AVE","city":"FORT LEONARD WOOD","state":"MO","postal_code":"654739098","country_code":"US","phone":"5735960417"}],"license":{"state":"MO","number":"2024020912"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20241221000054","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"MO","pac_id":"0840675625"}]},"enumeration_date":"2016-07-12","last_updated":"2025-01-07","_meta":{"source":"NPPES","snapshot_date":"2025-01-07","doc_url":"https://findmynpi.com/api"}}