{
  "npi": "1104667112",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2024-06-04",
    "credential": "SLP",
    "enumeration_date": "2024-06-04",
    "first_name": "KELLI",
    "last_name": "CRUTHIRDS",
    "last_updated": "2024-06-04",
    "middle_name": "ANNE",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1620 HIGHWAY 11 N STE C",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PICAYUNE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "769-242-2685",
      "postal_code": "394662070",
      "state": "MS",
      "telephone_number": "769-242-2626"
    },
    {
      "address_1": "1601 CENTRAL AVE W",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WIGGINS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "601-974-9919",
      "postal_code": "395772401",
      "state": "MS",
      "telephone_number": "601-716-3196"
    }
  ],
  "taxonomies": [
    {
      "code": "235Z00000X",
      "desc": "Speech-Language Pathologist,  ",
      "license": "S-5090",
      "primary": true,
      "state": "MS",
      "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 Speech, Language and Hearing Service Providers",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "15",
        "medicare_type": "Speech Language Pathologist"
      }
    ]
  }
}