{
  "npi": "1376788042",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2026-04-28",
    "credential": "CRNA",
    "enumeration_date": "2008-12-10",
    "first_name": "JOHN",
    "last_name": "ALLEN",
    "last_updated": "2026-04-28",
    "middle_name": "M",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
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    {
      "address_1": "15343 W STATE ROAD 54",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "LINTON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "474416226",
      "state": "IN"
    },
    {
      "address_1": "4605 E ELWOOD ST STE 500",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PHOENIX",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "850401978",
      "state": "AZ",
      "telephone_number": "602-200-9021"
    }
  ],
  "taxonomies": [
    {
      "code": "163W00000X",
      "desc": "Registered Nurse",
      "license": "28180788A",
      "primary": false,
      "state": "IN",
      "taxonomy_group": ""
    },
    {
      "code": "367500000X",
      "desc": "Nurse Anesthetist, Certified Registered",
      "license": "331810",
      "primary": true,
      "state": "AZ",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": {
    "total_beneficiaries": "107",
    "total_services": "110",
    "total_medicare_allowed_amt": "16950.6",
    "top_hcpcs_services": []
  },
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "43",
        "medicare_type": "Certified Registered Nurse Anesthetist (CRNA)"
      }
    ]
  }
}