{
  "npi": "1497974117",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "RD,  LD,  MS",
    "enumeration_date": "2007-04-24",
    "first_name": "DEBRA",
    "last_name": "CARLISLE",
    "last_updated": "2007-07-08",
    "middle_name": "ANNE",
    "name_prefix": "--",
    "name_suffix": "--",
    "sex": "F",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "31191 HWY 64",
      "address_2": "PO BOX 495",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CIMARRON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "505-445-7708",
      "postal_code": "87714",
      "state": "NM",
      "telephone_number": "505-376-2333"
    },
    {
      "address_1": "200 HOSPITAL DR",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "RATON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "505-445-7708",
      "postal_code": "877402013",
      "state": "NM",
      "telephone_number": "505-445-7726"
    }
  ],
  "taxonomies": [
    {
      "code": "133V00000X",
      "desc": "Dietitian, Registered",
      "license": "LD 0657",
      "primary": true,
      "state": "NM",
      "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 Dietary & Nutritional Service Providers — Dietician, Registered",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "71",
        "medicare_type": "Registered Dietitian or Nutrition Professional"
      }
    ]
  }
}