{"npi":"1992062020","type":"NPI-1","status":"active","name":{"display":"Mr. Kevin Smith","other":[],"first":"KEVIN","last":"SMITH"},"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":"TN","license":"RN0000158867"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"TN","license":"APN 16753"}]},"addresses":[{"purpose":"LOCATION","street_1":"1900 EXETER RD","city":"GERMANTOWN","state":"TN","postal_code":"38138","country_code":"US","phone":"9018182160"},{"purpose":"MAILING","street_1":"6910 7TH RD","city":"BARTLETT","state":"TN","postal_code":"381352568","country_code":"US","phone":"9013868539"}],"license":{"state":"TN","number":"APN 16753"},"identifiers":[{"type_code":"01","label":"Other","value":"1992062020","state":"TN","issuer":"CHAMPUS/TRICARE"},{"type_code":"05","label":"Medicaid","value":"192893001","state":"AR","issuer":null},{"type_code":"05","label":"Medicaid","value":"09552701","state":"MS","issuer":null},{"type_code":"05","label":"Medicaid","value":"1528772","state":"TN","issuer":null},{"type_code":"01","label":"Other","value":"4327295","state":"TN","issuer":"BCBST"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20120703000487","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"TN","pac_id":"7719142454"},{"enrlmt_id":"I20240822003763","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"NC","pac_id":"7719142454"}]},"enumeration_date":"2012-04-13","last_updated":"2013-04-10","_meta":{"source":"NPPES","snapshot_date":"2013-04-10","doc_url":"https://findmynpi.com/api"}}