{
  "npi": "1245821271",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "CPMSM, CPCS",
    "authorized_official_first_name": "KIMBERLY",
    "authorized_official_last_name": "GIVENS",
    "authorized_official_telephone_number": "5136366977",
    "authorized_official_title_or_position": "Director Medical Staff Services",
    "certification_date": "2025-10-13",
    "enumeration_date": "2021-02-02",
    "last_updated": "2025-10-13",
    "organization_name": "CHMC COMMUNITY HEALTH SERVICES NETWORK",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "3333 BURNET AVE. ML 5021",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CINCINNATI",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "513-636-2511",
      "postal_code": "452293026",
      "state": "OH",
      "telephone_number": "513-636-4225"
    },
    {
      "address_1": "3333 BURNET AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CINCINNATI",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "452293026",
      "state": "OH",
      "telephone_number": "513-636-4200"
    }
  ],
  "taxonomies": [
    {
      "code": "101Y00000X",
      "desc": "Counselor",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "104100000X",
      "desc": "Social Worker",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "152W00000X",
      "desc": "Optometrist",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "103G00000X",
      "desc": "Clinical Neuropsychologist",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "103T00000X",
      "desc": "Psychologist",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "363L00000X",
      "desc": "Nurse Practitioner",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "1041C0700X",
      "desc": "Social Worker, Clinical",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207LP3000X",
      "desc": "Anesthesiology, Pediatric Anesthesiology",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "363A00000X",
      "desc": "Physician Assistant",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "364S00000X",
      "desc": "Clinical Nurse Specialist",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "208000000X",
      "desc": "Pediatrics",
      "license": null,
      "primary": true,
      "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"
      }
    ]
  }
}