{
  "npi": "1417453366",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2022-11-07",
    "credential": "MD",
    "enumeration_date": "2018-03-31",
    "first_name": "RISA",
    "last_name": "BACHE-WIIG",
    "last_updated": "2022-11-07",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
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    {
      "address_1": "5109 36TH AVE N",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CRYSTAL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "763-587-7989",
      "postal_code": "554222007",
      "state": "MN",
      "telephone_number": "763-587-7900"
    },
    {
      "address_1": "9201 W BROADWAY AVE STE 601",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "BROOKLYN PARK",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "763-587-7066",
      "postal_code": "554451924",
      "state": "MN",
      "telephone_number": "763-587-7900"
    }
  ],
  "taxonomies": [
    {
      "code": "208D00000X",
      "desc": "General Practice",
      "license": "65974",
      "primary": false,
      "state": "MN",
      "taxonomy_group": ""
    },
    {
      "code": "207Q00000X",
      "desc": "Family Medicine",
      "license": "65974",
      "primary": true,
      "state": "MN",
      "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": "Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)",
    "certifying_board": "American Board of Family Medicine (ABFM)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "08",
        "medicare_type": "Physician/Family Practice"
      }
    ]
  }
}