{
  "npi": "1124323597",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "JULIE",
    "authorized_official_last_name": "JERNIGAN",
    "authorized_official_middle_name": "A",
    "authorized_official_name_prefix": "Ms.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "7343471462",
    "authorized_official_title_or_position": "COO/CFO",
    "enumeration_date": "2011-01-17",
    "last_updated": "2015-03-04",
    "organization_name": "CBM HEALTH CARE INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 489",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "LINDEN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "810-458-4187",
      "postal_code": "484510489",
      "state": "MI",
      "telephone_number": "313-815-8767"
    },
    {
      "address_1": "14229 TORREY RD # 2",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FENTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "810-458-4187",
      "postal_code": "484303308",
      "state": "MI",
      "telephone_number": "313-815-8767"
    }
  ],
  "taxonomies": [
    {
      "code": "261QP2300X",
      "desc": "Clinic/Center, Primary Care",
      "license": "4301039079",
      "primary": false,
      "state": "MI",
      "taxonomy_group": ""
    },
    {
      "code": "261QP2300X",
      "desc": "Clinic/Center, Primary Care",
      "license": "4307095750",
      "primary": false,
      "state": "MI",
      "taxonomy_group": ""
    },
    {
      "code": "363A00000X",
      "desc": "Physician Assistant",
      "license": "5601004426",
      "primary": false,
      "state": "MI",
      "taxonomy_group": "193400000X - Single Specialty Group"
    },
    {
      "code": "261QP2300X",
      "desc": "Clinic/Center, Primary Care",
      "license": "4301089099",
      "primary": true,
      "state": "MI",
      "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": []
  }
}