{
  "npi": "1174608012",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "SHIRLEY",
    "authorized_official_last_name": "WHITE",
    "authorized_official_telephone_number": "8703641272",
    "authorized_official_title_or_position": "HR Director",
    "certification_date": "2026-08-26",
    "enumeration_date": "2006-10-26",
    "last_updated": "2026-08-26",
    "organization_name": "CROSSETT HEALTH FOUNDATION",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX H",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CROSSETT",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "870-304-2156",
      "postal_code": "716351808",
      "state": "AR",
      "telephone_number": "870-364-9519"
    },
    {
      "address_1": "1003 FRED LAGRONE DR",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CROSSETT",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "870-304-2156",
      "postal_code": "716354546",
      "state": "AR",
      "telephone_number": "870-364-9519"
    }
  ],
  "taxonomies": [
    {
      "code": "208000000X",
      "desc": "Pediatrics",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "363LW0102X",
      "desc": "Nurse Practitioner, Women's Health",
      "license": null,
      "primary": false,
      "state": null,
      "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": "Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)",
    "certifying_board": "American Board of Pediatrics (ABP)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "37",
        "medicare_type": "Physician/Pediatric Medicine"
      }
    ]
  }
}