{
  "npi": "1124815873",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "CFm",
    "authorized_official_first_name": "JULIA",
    "authorized_official_last_name": "KLINE-FUENTES",
    "authorized_official_middle_name": "M.",
    "authorized_official_telephone_number": "3344783168",
    "authorized_official_title_or_position": "Founder",
    "certification_date": "2026-01-21",
    "enumeration_date": "2025-04-24",
    "last_updated": "2026-01-21",
    "organization_name": "BALSAM BOSOM WELLNESS AND RESTORATIVE CENTER LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "taxonomies": [
    {
      "code": "172V00000X",
      "desc": "Community Health Worker",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "176B00000X",
      "desc": "Midwife",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "174N00000X",
      "desc": "Lactation Consultant, Non-RN",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "246RP1900X",
      "desc": "Technician, Pathology, Phlebotomy",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "171400000X",
      "desc": "Health & Wellness Coach",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "374J00000X",
      "desc": "Doula",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "174H00000X",
      "desc": "Health Educator",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "171M00000X",
      "desc": "Case Manager/Care Coordinator",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "224900000X",
      "desc": "Mastectomy Fitter",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    }
  ],
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Mastectomy Fitter",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "common_medicare_procedures": [
      "Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)",
      "Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination",
      "Preventive Screening, Patient Counseling & Multidisciplinary Referral"
    ],
    "common_part_d_therapeutic_classes": [
      "Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)"
    ]
  }
}