{
  "npi": "1043242852",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "PhD PMHCNS-BC",
    "enumeration_date": "2006-07-06",
    "first_name": "BRIDGET",
    "last_name": "BOOTH",
    "last_updated": "2008-06-10",
    "middle_name": "KATHLEEN",
    "name_prefix": "Dr.",
    "name_suffix": "--",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "96 ROGERS RD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "LILLINGTON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "275467305",
      "state": "NC",
      "telephone_number": "910-580-4856"
    },
    {
      "address_1": "2300 RAMSEY ST",
      "address_2": "VA MEDICAL CENTER",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FAYETTEVILLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "910-822-7017",
      "postal_code": "28301",
      "state": "NC",
      "telephone_number": "910-488-2120"
    }
  ],
  "taxonomies": [
    {
      "code": "1041C0700X",
      "desc": "Social Worker, Clinical",
      "license": "C004317",
      "primary": false,
      "state": "NC",
      "taxonomy_group": ""
    },
    {
      "code": "364SP0809X",
      "desc": "Clinical Nurse Specialist, Psych/Mental Health, Adult",
      "license": "193660",
      "primary": true,
      "state": "NC",
      "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 Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health, Adult",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "89",
        "medicare_type": "Certified Clinical Nurse Specialist"
      }
    ]
  }
}