{
  "npi": "1215556048",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2024-08-05",
    "enumeration_date": "2020-04-12",
    "first_name": "HANNAH",
    "last_name": "BADON",
    "last_updated": "2024-08-05",
    "middle_name": "ROBERTS",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "50 PARKWAY LN STE 250",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PETAL",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "394653035",
      "state": "MS",
      "telephone_number": "601-544-0769"
    },
    {
      "address_1": "2450 WILD VALLEY DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "JACKSON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "392116224",
      "state": "MS",
      "telephone_number": "601-517-5401"
    }
  ],
  "taxonomies": [
    {
      "code": "207R00000X",
      "desc": "Internal Medicine",
      "license": "T-4028",
      "primary": false,
      "state": "MS",
      "taxonomy_group": ""
    },
    {
      "code": "207N00000X",
      "desc": "Dermatology",
      "license": "33581",
      "primary": true,
      "state": "MS",
      "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": "Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)",
    "certifying_board": "American Board of Dermatology (ABD)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "07",
        "medicare_type": "Physician/Dermatology"
      }
    ]
  }
}