{
  "npi": "1174960140",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2025-07-02",
    "credential": "SFIDC",
    "enumeration_date": "2013-05-30",
    "first_name": "NEELY",
    "last_name": "NELSON",
    "last_updated": "2025-07-15",
    "middle_name": "FRANK",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PSC BOX 8023",
      "address_2": "BLDG. 4389",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CHERRY POINT",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "285330023",
      "state": "NC",
      "telephone_number": "252-466-0396"
    },
    {
      "address_1": "504 COMPANY D STREET",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CAMP LEJEUNE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "285420042",
      "state": "NC",
      "telephone_number": "910-450-0786"
    }
  ],
  "taxonomies": [
    {
      "code": "1710I1002X",
      "desc": "Military Health Care Provider, Independent Duty Corpsman",
      "license": null,
      "primary": true,
      "state": null,
      "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 Military Health Care Provider, Independent Duty Corpsman",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}