{
  "npi": "1124889381",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "CNP",
    "authorized_official_first_name": "RYAN",
    "authorized_official_last_name": "ROWE",
    "authorized_official_middle_name": "ROWE",
    "authorized_official_telephone_number": "6057026769",
    "authorized_official_title_or_position": "Nurse Practitioner",
    "certification_date": "2024-05-14",
    "enumeration_date": "2024-01-16",
    "last_updated": "2024-05-14",
    "organization_name": "DAKOTA BEHAVIORAL HEALTH PLLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1309 E WELLS AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PIERRE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "605-340-1115",
      "postal_code": "575013964",
      "state": "SD",
      "telephone_number": "605-702-6769"
    },
    {
      "address_1": "PO BOX 168",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "WINNER",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "605-340-1115",
      "postal_code": "575800168",
      "state": "SD",
      "telephone_number": "605-702-6769"
    }
  ],
  "taxonomies": [
    {
      "code": "363LP0808X",
      "desc": "Nurse Practitioner, Psych/Mental Health",
      "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, Psychiatric — Mental Health",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "50",
        "medicare_type": "Nurse Practitioner"
      }
    ]
  }
}