{
  "npi": "1295122596",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "NP-C",
    "enumeration_date": "2015-04-24",
    "first_name": "ANDREA",
    "last_name": "BERTKE",
    "last_updated": "2015-04-24",
    "middle_name": "MARIE",
    "name_prefix": "--",
    "name_suffix": "--",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "920 GLENVIEW DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "HURON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "448392566",
      "state": "OH",
      "telephone_number": "419-602-0054"
    },
    {
      "address_1": "368 MILAN AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "NORWALK",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "448573106",
      "state": "OH",
      "telephone_number": "419-663-6464"
    }
  ],
  "taxonomies": [
    {
      "code": "163W00000X",
      "desc": "Registered Nurse",
      "license": "RN.350815-COA 1",
      "primary": false,
      "state": "OH",
      "taxonomy_group": ""
    },
    {
      "code": "363LF0000X",
      "desc": "Nurse Practitioner, Family",
      "license": "COA.17268-NP",
      "primary": true,
      "state": "OH",
      "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, Family",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "50",
        "medicare_type": "Nurse Practitioner"
      }
    ]
  }
}