{"npi":"1952380792","type":"NPI-1","status":"active","name":{"display":"John Bollenbacher CRNA","other":[],"first":"JOHN","last":"BOLLENBACHER","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":"MO","license":"086417"}]},"addresses":[{"purpose":"LOCATION","street_1":"219 PHYSICIANS PARK","city":"POPLAR BLUFF","state":"MO","postal_code":"639013956","country_code":"US","phone":"5736865550"},{"purpose":"MAILING","street_1":"2140 AUTUMN RD","city":"POPLAR BLUFF","state":"MO","postal_code":"639012703","country_code":"US","phone":"5736865550","fax":"5736862139"}],"license":{"state":"MO","number":"086417"},"identifiers":[{"type_code":"01","label":"Other","value":"184883","state":"MO","issuer":"BCBS"},{"type_code":"01","label":"Other","value":"P00100713","state":"MO","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-01-11","last_updated":"2008-04-04","_meta":{"source":"NPPES","snapshot_date":"2008-04-04","doc_url":"https://findmynpi.com/api"}}