{
  "npi": "1215364062",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2021-02-11",
    "credential": "NP",
    "enumeration_date": "2013-10-10",
    "first_name": "KARYN",
    "last_name": "FAREVAAG",
    "last_updated": "2021-02-11",
    "middle_name": "HARVEY",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "353 BLAIR PARK RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WILLISTON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "054957530",
      "state": "VT",
      "telephone_number": "802-847-1470"
    },
    {
      "address_1": "P.O. BOX 30",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "GREAT BARRINGTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "413-644-0274",
      "postal_code": "01230",
      "state": "MA",
      "telephone_number": "413-528-9311"
    }
  ],
  "taxonomies": [
    {
      "code": "363LA2200X",
      "desc": "Nurse Practitioner, Adult Health",
      "license": "101-0134554",
      "primary": false,
      "state": "VT",
      "taxonomy_group": ""
    },
    {
      "code": "363L00000X",
      "desc": "Nurse Practitioner",
      "license": "101-0134554",
      "primary": true,
      "state": "VT",
      "taxonomy_group": ""
    },
    {
      "code": "363L00000X",
      "desc": "Nurse Practitioner",
      "license": "265605",
      "primary": false,
      "state": "MA",
      "taxonomy_group": ""
    },
    {
      "code": "363LA2200X",
      "desc": "Nurse Practitioner, Adult Health",
      "license": "RN265605",
      "primary": false,
      "state": "MA",
      "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 Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "50",
        "medicare_type": "Nurse Practitioner"
      }
    ]
  }
}