{
  "npi": "1114826153",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "FNP",
    "authorized_official_first_name": "ERLINE",
    "authorized_official_last_name": "TERRELONGE",
    "authorized_official_telephone_number": "9546497377",
    "authorized_official_title_or_position": "Nurse Practitioner",
    "certification_date": "2026-11-04",
    "enumeration_date": "2026-11-04",
    "last_updated": "2026-11-04",
    "organization_name": "HEALING PHASES & SERVICES",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "32322 CEDAR ELM DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "WALLER",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "774842311",
      "state": "TX",
      "telephone_number": "954-649-7377"
    },
    {
      "address_1": "4501 CARTWRIGHT RD STE 304",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MISSOURI CITY",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "774593539",
      "state": "TX",
      "telephone_number": "713-364-9518"
    }
  ],
  "taxonomies": [
    {
      "code": "363LF0000X",
      "desc": "Nurse Practitioner, Family",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193400000X - Single Specialty 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 Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "50",
        "medicare_type": "Nurse Practitioner"
      }
    ]
  }
}