{
  "npi": "1376715862",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MSSLP/A,CCC",
    "authorized_official_first_name": "ANITA",
    "authorized_official_last_name": "GANTRY-DOTSON",
    "authorized_official_middle_name": "RAE",
    "authorized_official_name_prefix": "Mrs.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "3607408992",
    "authorized_official_title_or_position": "President",
    "enumeration_date": "2008-03-25",
    "last_updated": "2008-03-31",
    "organization_name": "ADVANCED HEARING AND SPEECH INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 148",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SALKUM",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "360-740-8993",
      "postal_code": "985820148",
      "state": "WA",
      "telephone_number": "360-740-8992"
    },
    {
      "address_1": "1570 N NATIONAL AVE",
      "address_2": "SUITE 101",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CHEHALIS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "360-740-8993",
      "postal_code": "985322215",
      "state": "WA",
      "telephone_number": "360-740-8992"
    }
  ],
  "taxonomies": [
    {
      "code": "235Z00000X",
      "desc": "Speech-Language Pathologist,  ",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "332S00000X",
      "desc": "Hearing  Aid Equipment",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "231H00000X",
      "desc": "Audiologist",
      "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": "Licensed & Credentialed Speech, Language and Hearing Service Providers — Audiologist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "64",
        "medicare_type": "Audiologist"
      }
    ]
  }
}