{
  "npi": "1033195284",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2025-07-22",
    "credential": "M.D.",
    "enumeration_date": "2005-12-20",
    "first_name": "JULIE",
    "last_name": "ADAMS",
    "last_updated": "2025-07-22",
    "middle_name": "ELIZABETH",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "350 HERITAGE WAY STE 1200",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "KALISPELL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "406-756-4111",
      "postal_code": "599013160",
      "state": "MT",
      "telephone_number": "406-752-6784"
    },
    {
      "address_1": "PO BOX 5467",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "WHITEFISH",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "599375467",
      "state": "MT",
      "telephone_number": "612-889-5488"
    }
  ],
  "taxonomies": [
    {
      "code": "207X00000X",
      "desc": "Orthopaedic Surgery",
      "license": "59700",
      "primary": false,
      "state": "TN",
      "taxonomy_group": ""
    },
    {
      "code": "207XS0106X",
      "desc": "Orthopaedic Surgery, Hand Surgery",
      "license": "2025-00170",
      "primary": false,
      "state": "NC",
      "taxonomy_group": ""
    },
    {
      "code": "207XS0106X",
      "desc": "Orthopaedic Surgery, Hand Surgery",
      "license": "59700",
      "primary": false,
      "state": "TN",
      "taxonomy_group": ""
    },
    {
      "code": "207XS0106X",
      "desc": "Orthopaedic Surgery, Hand Surgery",
      "license": "126749",
      "primary": true,
      "state": "MT",
      "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": "Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)",
    "certifying_board": "American Board of Orthopaedic Surgery (ABOS)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "02",
        "medicare_type": "Physician/General Surgery"
      },
      {
        "medicare_code": "20",
        "medicare_type": "Physician/Orthopedic Surgery"
      },
      {
        "medicare_code": "40",
        "medicare_type": "Physician/Hand Surgery"
      }
    ]
  }
}