{
  "npi": "1417224239",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2026-10-09",
    "credential": "APRN",
    "enumeration_date": "2011-11-22",
    "first_name": "CRYSTAL",
    "last_name": "BRANHAM",
    "last_updated": "2026-10-09",
    "middle_name": "L",
    "sex": "F",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "109 W 27TH ST RM 5S",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "NEW YORK",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "100016208",
      "state": "NY",
      "telephone_number": "833-351-8255"
    },
    {
      "address_1": "300 BAKER AVE STE 300",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CONCORD",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "017422124",
      "state": "MA",
      "telephone_number": "833-351-8255"
    }
  ],
  "taxonomies": [
    {
      "code": "363LP0808X",
      "desc": "Nurse Practitioner, Psych/Mental Health",
      "license": "086065-23",
      "primary": false,
      "state": "NH",
      "taxonomy_group": ""
    },
    {
      "code": "363LP0808X",
      "desc": "Nurse Practitioner, Psych/Mental Health",
      "license": "95026946",
      "primary": false,
      "state": "CA",
      "taxonomy_group": ""
    },
    {
      "code": "363LP0808X",
      "desc": "Nurse Practitioner, Psych/Mental Health",
      "license": "C-APN.0102125-C-NP",
      "primary": false,
      "state": "CO",
      "taxonomy_group": ""
    },
    {
      "code": "363LP0808X",
      "desc": "Nurse Practitioner, Psych/Mental Health",
      "license": "26336",
      "primary": false,
      "state": "TN",
      "taxonomy_group": ""
    },
    {
      "code": "363LP0808X",
      "desc": "Nurse Practitioner, Psych/Mental Health",
      "license": "350979",
      "primary": false,
      "state": "NY",
      "taxonomy_group": ""
    },
    {
      "code": "363LP0808X",
      "desc": "Nurse Practitioner, Psych/Mental Health",
      "license": "CP003104",
      "primary": false,
      "state": "SD",
      "taxonomy_group": ""
    },
    {
      "code": "363LP0808X",
      "desc": "Nurse Practitioner, Psych/Mental Health",
      "license": "406281",
      "primary": false,
      "state": "NY",
      "taxonomy_group": ""
    },
    {
      "code": "363LP0808X",
      "desc": "Nurse Practitioner, Psych/Mental Health",
      "license": "RN2368322",
      "primary": true,
      "state": "MA",
      "taxonomy_group": ""
    },
    {
      "code": "363LP0808X",
      "desc": "Nurse Practitioner, Psych/Mental Health",
      "license": "53-82469-061",
      "primary": false,
      "state": "KS",
      "taxonomy_group": ""
    },
    {
      "code": "363LP0808X",
      "desc": "Nurse Practitioner, Psych/Mental Health",
      "license": "3007228",
      "primary": false,
      "state": "KY",
      "taxonomy_group": ""
    },
    {
      "code": "363LF0000X",
      "desc": "Nurse Practitioner, Family",
      "license": "LG-0011841",
      "primary": false,
      "state": "DE",
      "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, Psychiatric — Mental Health",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "50",
        "medicare_type": "Nurse Practitioner"
      }
    ]
  }
}