{
  "npi": "1477628527",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "N.P.",
    "enumeration_date": "2006-11-22",
    "first_name": "COLLEEN",
    "last_name": "BERG",
    "last_updated": "2011-06-16",
    "middle_name": "MARIE",
    "name_prefix": "Mrs.",
    "name_suffix": "--",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "370 FAUNCE CORNER ROAD",
      "address_2": "SOUTHCOAST PHYSICIAN SERVICES, INC.",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "NORTH DARTMOUTH",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "508-985-2001",
      "postal_code": "027471271",
      "state": "MA",
      "telephone_number": "508-985-2000"
    },
    {
      "address_1": "100 ROSEBROOK WAY",
      "address_2": "SOUTHCOAST PHYSICIAN SERVICES, INC. 3RD FLOOR",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WAREHAM",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "508-273-4901",
      "postal_code": "025712097",
      "state": "MA",
      "telephone_number": "508-273-4900"
    }
  ],
  "taxonomies": [
    {
      "code": "363L00000X",
      "desc": "Nurse Practitioner",
      "license": "142625",
      "primary": false,
      "state": "MA",
      "taxonomy_group": ""
    },
    {
      "code": "363LP0200X",
      "desc": "Nurse Practitioner, Pediatrics",
      "license": "142625",
      "primary": false,
      "state": "MA",
      "taxonomy_group": ""
    },
    {
      "code": "363L00000X",
      "desc": "Nurse Practitioner",
      "license": "RN142625",
      "primary": true,
      "state": "MA",
      "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",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "50",
        "medicare_type": "Nurse Practitioner"
      }
    ]
  }
}