{
  "npi": "1104201714",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "FNP-bc",
    "enumeration_date": "2015-07-24",
    "first_name": "KERI",
    "last_name": "DOUGLAS",
    "last_updated": "2015-07-24",
    "name_prefix": "--",
    "name_suffix": "--",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "197 WESTMORE DRIVE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "AVISTON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "62216",
      "state": "IL",
      "telephone_number": "618-560-8797"
    },
    {
      "address_1": "1054 M. L. KING DRIVE #125",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CENTRAILIA",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "62801",
      "state": "IL",
      "telephone_number": "618-436-5200"
    }
  ],
  "taxonomies": [
    {
      "code": "363L00000X",
      "desc": "Nurse Practitioner",
      "license": "209.012941",
      "primary": true,
      "state": "IL",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "NPI": "1104201714",
      "LAST_NAME": "DOUGLAS",
      "FIRST_NAME": "KERI",
      "PARTB": "Y",
      "DME": "Y",
      "HHA": "Y",
      "PMD": "Y",
      "HOSPICE": "N"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "50",
        "medicare_type": "Nurse Practitioner"
      }
    ]
  }
}