{
  "npi": "1003907957",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "ARNP BC",
    "enumeration_date": "2006-09-27",
    "first_name": "LORI",
    "last_name": "EDENFIELD",
    "last_updated": "2007-07-08",
    "middle_name": "DAWN",
    "name_prefix": "--",
    "name_suffix": "--",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1410 BRICKYARD RD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CHIPLEY",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "850-638-9611",
      "postal_code": "32428",
      "state": "FL",
      "telephone_number": "850-638-3400"
    },
    {
      "address_1": "1410 BRICKYARD RD",
      "address_2": "SAMUEL E WARD MD PL",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CHIPLEY",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "850-638-9611",
      "postal_code": "32428",
      "state": "FL",
      "telephone_number": "850-638-3400"
    }
  ],
  "taxonomies": [
    {
      "code": "363LF0000X",
      "desc": "Nurse Practitioner, Family",
      "license": "ARNP3139042",
      "primary": true,
      "state": "FL",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": true,
      "status": "EXCLUDED",
      "matches": [
        {
          "name": "LORI DAWN EDENFIELD",
          "npi": "1003907957",
          "specialty": "NURSE/NURSES AIDE",
          "city": "PANAMA CITY BEACH",
          "state": "FL",
          "excl_type": "1128a1",
          "excl_date": "2022-12-20",
          "statute_desc": "Sec. 1128(a)(1) — Conviction of Program-Related Crimes (Mandatory 5-Yr Min)"
        }
      ],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "50",
        "medicare_type": "Nurse Practitioner"
      }
    ]
  }
}