{
  "npi": "1134309321",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "RN",
    "enumeration_date": "2007-11-06",
    "first_name": "ANNETTE",
    "last_name": "BACA",
    "last_updated": "2007-11-06",
    "name_prefix": "Mrs.",
    "name_suffix": "--",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "514 OAKWOOD DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "TROY",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "622941051",
      "state": "IL",
      "telephone_number": "314-289-6488"
    },
    {
      "address_1": "915 N GRAND BLVD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "SAINT LOUIS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "631061621",
      "state": "MO",
      "telephone_number": "314-289-6488"
    }
  ],
  "taxonomies": [
    {
      "code": "163WC0200X",
      "desc": "Registered Nurse, Critical Care Medicine",
      "license": "041332859",
      "primary": true,
      "state": "IL",
      "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 & Credentialed Registered Nurse, Critical Care Medicine",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}