{"npi":"1902894074","type":"NPI-1","status":"active","name":{"display":"Thomas Habimana CRNA","other":[],"first":"THOMAS","last":"HABIMANA","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":"KY","license":"1097396"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"IN","license":"28122164A"}]},"addresses":[{"purpose":"LOCATION","street_1":"3630 GUION RD","city":"INDIANAPOLIS","state":"IN","postal_code":"462221616","country_code":"US","phone":"3179208439","fax":"3176149655"},{"purpose":"MAILING","street_1":"11460 N MERIDIAN ST","city":"CARMEL","state":"IN","postal_code":"460324408","country_code":"US","street_2":"STE. 110","phone":"3175672180","fax":"3176149655"}],"license":{"state":"IN","number":"28122164A"},"identifiers":[{"type_code":"01","label":"Other","value":"2773493000","state":"KY","issuer":"PASSPORT ADVANTAGE"},{"type_code":"01","label":"Other","value":"430080249","state":null,"issuer":"RAILROAD MEDICARE"},{"type_code":"05","label":"Medicaid","value":"200428210","state":"IN","issuer":null},{"type_code":"01","label":"Other","value":"50012416","state":"KY","issuer":"PASSPORT"},{"type_code":"01","label":"Other","value":"000000283641","state":"KY","issuer":"ANTHEM BLUE SHIELD"},{"type_code":"05","label":"Medicaid","value":"74005273","state":"KY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040803000445","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"KY","pac_id":"9638140890"},{"enrlmt_id":"I20041230000047","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"OH","pac_id":"9638140890"},{"enrlmt_id":"I20120106000007","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"IN","pac_id":"9638140890"}]},"enumeration_date":"2005-10-12","last_updated":"2025-07-14","_meta":{"source":"NPPES","snapshot_date":"2025-07-14","doc_url":"https://findmynpi.com/api"}}