{
  "npi": "1124667795",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2023-12-13",
    "credential": "Psy.D",
    "enumeration_date": "2019-12-31",
    "first_name": "JENNIFER",
    "last_name": "BARTON",
    "last_updated": "2023-12-13",
    "middle_name": "ANN",
    "name_prefix": "Dr.",
    "sex": "F",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "18 KENDRA CT",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WINTER HAVEN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "338801190",
      "state": "FL",
      "telephone_number": "305-562-9432"
    },
    {
      "address_1": "18 KENDRA CT",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "WINTER HAVEN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "338801190",
      "state": "FL",
      "telephone_number": "305-562-9432"
    }
  ],
  "taxonomies": [
    {
      "code": "103G00000X",
      "desc": "Clinical Neuropsychologist",
      "license": "10146",
      "primary": false,
      "state": "FL",
      "taxonomy_group": ""
    },
    {
      "code": "103T00000X",
      "desc": "Psychologist",
      "license": "PY10146",
      "primary": false,
      "state": "FL",
      "taxonomy_group": ""
    },
    {
      "code": "103TC0700X",
      "desc": "Psychologist, Clinical",
      "license": "10146",
      "primary": false,
      "state": "FL",
      "taxonomy_group": ""
    },
    {
      "code": "103TR0400X",
      "desc": "Psychologist, Rehabilitation",
      "license": "10146",
      "primary": false,
      "state": "FL",
      "taxonomy_group": ""
    },
    {
      "code": "103G00000X",
      "desc": "Clinical Neuropsychologist",
      "license": "31653",
      "primary": true,
      "state": "CA",
      "taxonomy_group": "193200000X - Multi-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 Clinical Neuropsychologist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}