{
  "npi": "1053602128",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2021-01-19",
    "credential": "M.D.",
    "enumeration_date": "2011-04-25",
    "first_name": "VLATKA",
    "last_name": "AGNETTA",
    "last_updated": "2021-01-19",
    "name_prefix": "Dr.",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2358 LIFESTYLE WAY STE 212",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CHATTANOOGA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "423-521-1200",
      "postal_code": "374214904",
      "state": "TN",
      "telephone_number": "423-521-1100"
    },
    {
      "address_1": "136 BATTLEFIELD CROSSING CT",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "RINGGOLD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "706-529-7210",
      "postal_code": "307365176",
      "state": "GA",
      "telephone_number": "706-277-7311"
    }
  ],
  "taxonomies": [
    {
      "code": "207N00000X",
      "desc": "Dermatology",
      "license": "86364",
      "primary": false,
      "state": "GA",
      "taxonomy_group": ""
    },
    {
      "code": "207N00000X",
      "desc": "Dermatology",
      "license": "A122120",
      "primary": false,
      "state": "CA",
      "taxonomy_group": ""
    },
    {
      "code": "207N00000X",
      "desc": "Dermatology",
      "license": "ME140586",
      "primary": false,
      "state": "FL",
      "taxonomy_group": ""
    },
    {
      "code": "207N00000X",
      "desc": "Dermatology",
      "license": "61320",
      "primary": false,
      "state": "TN",
      "taxonomy_group": ""
    },
    {
      "code": "207P00000X",
      "desc": "Emergency Medicine",
      "license": "A122120",
      "primary": false,
      "state": "CA",
      "taxonomy_group": ""
    },
    {
      "code": "207ND0101X",
      "desc": "Dermatology, MOHS-Micrographic Surgery",
      "license": "61320",
      "primary": true,
      "state": "TN",
      "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 Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)",
    "certifying_board": "American Board of Dermatology (ABD)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "07",
        "medicare_type": "Physician/Dermatology"
      },
      {
        "medicare_code": "D7",
        "medicare_type": "Micrographic Dermatologic Surgery"
      }
    ]
  }
}