{
  "npi": "1043382666",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "NP",
    "enumeration_date": "2006-11-15",
    "first_name": "TINA",
    "last_name": "ABOLHASSANI BLOOMER",
    "last_updated": "2012-05-08",
    "name_prefix": "--",
    "name_suffix": "--",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "19171 JASPER HILL RD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "TRABUCO CANYON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "926791121",
      "state": "CA",
      "telephone_number": "949-633-9100"
    },
    {
      "address_1": "4010 E CHAPMAN AVE",
      "address_2": "SUITE C",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ORANGE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "714-532-3943",
      "postal_code": "928693990",
      "state": "CA",
      "telephone_number": "714-500-0358"
    }
  ],
  "taxonomies": [
    {
      "code": "363LW0102X",
      "desc": "Nurse Practitioner, Women's Health",
      "license": "RN 486773",
      "primary": false,
      "state": "CA",
      "taxonomy_group": ""
    },
    {
      "code": "363LX0001X",
      "desc": "Nurse Practitioner, Obstetrics & Gynecology",
      "license": "NP 10584",
      "primary": true,
      "state": "CA",
      "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 Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)",
    "certifying_board": "American Board of Obstetrics and Gynecology (ABOG)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "50",
        "medicare_type": "Nurse Practitioner"
      }
    ]
  }
}