{
  "npi": "1023788932",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2021-08-30",
    "credential": "PTA",
    "enumeration_date": "2021-09-14",
    "first_name": "SHANNON",
    "last_name": "MORELAND",
    "last_updated": "2021-09-14",
    "name_prefix": "--",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "485 MEADOW WOOD CIR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "DILLON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "804358485",
      "state": "CO",
      "telephone_number": "316-992-2505"
    },
    {
      "address_1": "214 4TH ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "KREMMLING",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "80459",
      "state": "CO",
      "telephone_number": "970-724-3442"
    }
  ],
  "taxonomies": [
    {
      "code": "204C00000X",
      "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
      "license": "PTA.0014974",
      "primary": true,
      "state": "CO",
      "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": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine, Sports Medicine",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "12",
        "medicare_type": "Physician/Osteopathic Manipulative Medicine"
      },
      {
        "medicare_code": "23",
        "medicare_type": "Physician/Sports Medicine"
      }
    ]
  }
}