{
  "npi": "1053975987",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2025-03-20",
    "credential": "MS,RD,CSSD,LD,EPC",
    "enumeration_date": "2019-04-25",
    "first_name": "JESSICA",
    "last_name": "ANDERSON",
    "last_updated": "2025-03-20",
    "middle_name": "GRACE",
    "name_prefix": "Miss",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2817 ROCK MERRITT AVE",
      "address_2": "WOMACK ARMY MEDICAL CENTER",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FORT BRAGG",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "910-907-6069",
      "postal_code": "283105438",
      "state": "NC",
      "telephone_number": "910-907-8116"
    },
    {
      "address_1": "WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "FORT BRAGG",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "283100001",
      "state": "NC",
      "telephone_number": "910-907-8116"
    }
  ],
  "taxonomies": [
    {
      "code": "133N00000X",
      "desc": "Nutritionist",
      "license": "08619",
      "primary": false,
      "state": "OH",
      "taxonomy_group": ""
    },
    {
      "code": "133V00000X",
      "desc": "Dietitian, Registered",
      "license": "LD.08619",
      "primary": false,
      "state": "OH",
      "taxonomy_group": ""
    },
    {
      "code": "133N00000X",
      "desc": "Nutritionist",
      "license": "L007668",
      "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 Nutritionist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}