{"npi":"1972842573","type":"NPI-1","status":"active","name":{"display":"Todd Pottorf CRNA","other":[],"first":"TODD","last":"POTTORF","middle":"MATTHEW","credential":"CRNA"},"specialty":{"primary_taxonomy":"367500000X","primary_taxonomy_description":"Certified Registered Nurse Anesthetist","slug":"certified-registered-nurse-anesthetist","schema_org_specialty":null,"all":[{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"SC","license":"94422"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"TN","license":"22624"}]},"addresses":[{"purpose":"LOCATION","street_1":"1 MEDICAL PARK BLVD","city":"BRISTOL","state":"TN","postal_code":"376207430","country_code":"US","phone":"4238442686","fax":"4238442686"},{"purpose":"MAILING","street_1":"105 W STONE DR STE 6A","city":"KINGSPORT","state":"TN","postal_code":"376603256","country_code":"US","phone":"4234087220","fax":"4234087405"}],"license":{"state":"TN","number":"22624"},"identifiers":[{"type_code":"01","label":"Other","value":"94422","state":"SC","issuer":"RN LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130320000015","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"NC","pac_id":"7911142187"},{"enrlmt_id":"I20170524002813","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"TN","pac_id":"7911142187"}]},"enumeration_date":"2013-02-04","last_updated":"2018-02-20","_meta":{"source":"NPPES","snapshot_date":"2018-02-20","doc_url":"https://findmynpi.com/api"}}