{
  "npi": "1235280892",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "PHD",
    "authorized_official_first_name": "TERESA",
    "authorized_official_last_name": "KIDD",
    "authorized_official_middle_name": "M",
    "authorized_official_name_prefix": "Mrs.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "4234673600",
    "authorized_official_title_or_position": "President and CEO",
    "enumeration_date": "2007-01-12",
    "last_updated": "2018-10-04",
    "organization_name": "FRONTIER HEALTH",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "4907 BOONE TRAIL RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "DUFFIELD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "276-431-4484",
      "postal_code": "24244",
      "state": "VA",
      "telephone_number": "276-431-4473"
    },
    {
      "address_1": "PO BOX 9054",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "GRAY",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "423-467-3644",
      "postal_code": "376159054",
      "state": "TN",
      "telephone_number": "423-467-3600"
    }
  ],
  "taxonomies": [
    {
      "code": "251C00000X",
      "desc": "Day Training, Developmentally Disabled Services",
      "license": "315-02-006",
      "primary": true,
      "state": "VA",
      "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 Day Training, Developmentally Disabled Services",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}