{"npi":"1952583445","type":"NPI-1","status":"active","name":{"display":"Mary Gagnon CRNA","other":[],"first":"MARY","last":"GAGNON","middle":"LOU","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":"MI","license":"4704160281"}]},"addresses":[{"purpose":"LOCATION","street_1":"44405 WOODWARD AVE","city":"PONTIAC","state":"MI","postal_code":"483415023","country_code":"US","phone":"2488586593"},{"purpose":"MAILING","street_1":"255 W MICHIGAN AVE","city":"JACKSON","state":"MI","postal_code":"492012218","country_code":"US","phone":"5177876440","fax":"5177874146"}],"license":{"state":"MI","number":"4704160281"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"437785110","state":"MI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20101109001201","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"MI","pac_id":"6800081449"}]},"enumeration_date":"2007-11-27","last_updated":"2010-06-24","_meta":{"source":"NPPES","snapshot_date":"2010-06-24","doc_url":"https://findmynpi.com/api"}}