{
  "npi": "1487161766",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "LAc",
    "authorized_official_first_name": "VIRGINIA",
    "authorized_official_last_name": "WHITTLESEY",
    "authorized_official_middle_name": "RAWLS",
    "authorized_official_name_prefix": "Ms.",
    "authorized_official_telephone_number": "6788719642",
    "authorized_official_title_or_position": "Owner, Licensed Acupuncturist",
    "enumeration_date": "2018-01-08",
    "last_updated": "2018-01-08",
    "organization_name": "BALANCED ENERGY WELLNESS, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "457 CASTLEWOOD RD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "TYRONE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "302902012",
      "state": "GA",
      "telephone_number": "678-848-3319"
    },
    {
      "address_1": "259 HIGHWAY 74 N STE 2",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PEACHTREE CITY",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "302693562",
      "state": "GA",
      "telephone_number": "678-871-9642"
    }
  ],
  "taxonomies": [
    {
      "code": "171100000X",
      "desc": "Acupuncturist",
      "license": "353",
      "primary": true,
      "state": "GA",
      "taxonomy_group": "193200000X - Multi-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": "Licensed & Credentialed Acupuncturist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}