{
  "npi": "1407471998",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2024-10-09",
    "enumeration_date": "2020-06-10",
    "first_name": "KATHERINE",
    "last_name": "ACEVEDO",
    "last_updated": "2024-10-09",
    "middle_name": "ALEXANDRA",
    "sex": "F",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "13971 SW 272ND ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "HOMESTEAD",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "330328895",
      "state": "FL"
    },
    {
      "address_1": "8900 N KENDALL DR",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MIAMI",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "331762118",
      "state": "FL",
      "telephone_number": "786-596-1960"
    }
  ],
  "taxonomies": [
    {
      "code": "367H00000X",
      "desc": "Anesthesiologist Assistant",
      "license": "AA982",
      "primary": true,
      "state": "FL",
      "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 — Anesthesiologist Assistant",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "32",
        "medicare_type": "Anesthesiology Assistant"
      }
    ]
  }
}