{
  "npi": "1265830335",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "MARGARET",
    "authorized_official_last_name": "GIBSON",
    "authorized_official_name_prefix": "Mrs.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "2526224506",
    "authorized_official_title_or_position": "PRESIDENT",
    "enumeration_date": "2014-12-05",
    "last_updated": "2015-05-04",
    "organization_name": "A PERFECT FIT FOR YOU INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2900 ARENDELL ST",
      "address_2": "SUITE 6",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MOREHEAD CITY",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "252-622-4512",
      "postal_code": "285573318",
      "state": "NC",
      "telephone_number": "252-622-4506"
    },
    {
      "address_1": "2900 ARENDELL ST",
      "address_2": "SUITE 6",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MOREHEAD CITY",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "252-622-4512",
      "postal_code": "285573318",
      "state": "NC",
      "telephone_number": "252-622-4506"
    }
  ],
  "taxonomies": [
    {
      "code": "332BC3200X",
      "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
      "license": "S28948",
      "primary": false,
      "state": "NC",
      "taxonomy_group": ""
    },
    {
      "code": "332BD1200X",
      "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
      "license": "S28948",
      "primary": false,
      "state": "NC",
      "taxonomy_group": ""
    },
    {
      "code": "335E00000X",
      "desc": "Prosthetic/Orthotic Supplier",
      "license": "S28948",
      "primary": false,
      "state": "NC",
      "taxonomy_group": ""
    },
    {
      "code": "332B00000X",
      "desc": "Durable Medical Equipment & Medical Supplies",
      "license": "S28948",
      "primary": true,
      "state": "NC",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": true,
      "status": "EXCLUDED",
      "matches": [
        {
          "name": "A PERFECT FIT FOR YOU, INC",
          "npi": "1265830335",
          "specialty": "DME - GENERAL",
          "city": "MOREHEAD CITY",
          "state": "NC",
          "excl_type": "1128a1",
          "excl_date": "2022-08-18",
          "statute_desc": "Sec. 1128(a)(1) — Conviction of Program-Related Crimes (Mandatory 5-Yr Min)"
        }
      ],
      "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 Suppliers — Durable Medical Equipment & Medical Supplies",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "54",
        "medicare_type": "Other Medical Supply Company"
      },
      {
        "medicare_code": "58",
        "medicare_type": "Medical Supply Company with Pharmacist"
      },
      {
        "medicare_code": "87[3]",
        "medicare_type": "All Other Suppliers"
      },
      {
        "medicare_code": "A2[9]",
        "medicare_type": "Intermediate Care Nursing Facility"
      },
      {
        "medicare_code": "A6",
        "medicare_type": "Medical Supply Company with Respiratory Therapist"
      },
      {
        "medicare_code": "A7",
        "medicare_type": "Department Store"
      },
      {
        "medicare_code": "A8",
        "medicare_type": "Grocery Store"
      },
      {
        "medicare_code": "B3",
        "medicare_type": "Medical supply company with pedorthic personnel"
      }
    ]
  }
}