{
  "npi": "1407109440",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "CPNP",
    "authorized_official_first_name": "TERESA",
    "authorized_official_last_name": "HIRST",
    "authorized_official_middle_name": "E",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "8662512425",
    "authorized_official_title_or_position": "Owner",
    "enumeration_date": "2012-10-15",
    "last_updated": "2012-10-15",
    "organization_name": "ALASKA DEVELOPMENTAL BEHAVIORAL PEDIATRICS",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "19202 MCCRARY RD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "EAGLE RIVER",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "995777947",
      "state": "AK",
      "telephone_number": "866-251-2424"
    },
    {
      "address_1": "19202 MCCRARY RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "EAGLE RIVER",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "995777947",
      "state": "AK",
      "telephone_number": "866-251-2424"
    }
  ],
  "taxonomies": [
    {
      "code": "363LP0200X",
      "desc": "Nurse Practitioner, Pediatrics",
      "license": "652",
      "primary": true,
      "state": "AK",
      "taxonomy_group": "193400000X - Single 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": "50",
        "medicare_type": "Nurse Practitioner"
      }
    ]
  }
}