{
  "npi": "1497115380",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "APRN",
    "authorized_official_first_name": "MARY",
    "authorized_official_last_name": "LEAHY",
    "authorized_official_middle_name": "ELIZABETH",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "8606756595",
    "authorized_official_title_or_position": "Member",
    "enumeration_date": "2016-03-04",
    "last_updated": "2017-07-20",
    "organization_name": "AVON FAMILY HEALTH, LLC",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "AVON PROFESSIONAL GROUP",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "30 W AVON RD",
      "address_2": "SUITE D",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "AVON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "860-673-6721",
      "postal_code": "060013678",
      "state": "CT",
      "telephone_number": "860-675-6595"
    },
    {
      "address_1": "30 W AVON RD",
      "address_2": "SUITE D",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "AVON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "860-673-6721",
      "postal_code": "060013678",
      "state": "CT",
      "telephone_number": "860-675-6595"
    }
  ],
  "taxonomies": [
    {
      "code": "261QP2300X",
      "desc": "Clinic/Center, Primary Care",
      "license": null,
      "primary": true,
      "state": "CT",
      "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 Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": []
  }
}