{
  "npi": "1063109734",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "SLP-CCC",
    "authorized_official_first_name": "ANNE",
    "authorized_official_last_name": "FULTON",
    "authorized_official_middle_name": "M",
    "authorized_official_name_prefix": "Ms.",
    "authorized_official_telephone_number": "3092044961",
    "authorized_official_title_or_position": "Owner/Lead Therapist",
    "certification_date": "2023-05-02",
    "enumeration_date": "2023-04-21",
    "last_updated": "2023-05-02",
    "organization_name": "ASONE SPEECH THERAPY, PLLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1900 E COLLEGE AVE STE A168",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "NORMAL",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "617614507",
      "state": "IL",
      "telephone_number": "309-204-4961"
    },
    {
      "address_1": "10 EVERETT CT",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BLOOMINGTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "844-777-1755",
      "postal_code": "617056557",
      "state": "IL",
      "telephone_number": "309-204-4961"
    }
  ],
  "taxonomies": [
    {
      "code": "261QH0700X",
      "desc": "Clinic/Center, Hearing and Speech",
      "license": null,
      "primary": true,
      "state": null,
      "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 Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": []
  }
}