{
  "npi": "1508655697",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "ARLEAN",
    "authorized_official_last_name": "EDWARDS",
    "authorized_official_middle_name": "J",
    "authorized_official_name_prefix": "Ms.",
    "authorized_official_telephone_number": "7066278209",
    "authorized_official_title_or_position": "COO",
    "certification_date": "2026-02-18",
    "enumeration_date": "2025-05-05",
    "last_updated": "2026-02-18",
    "organization_name": "6IXTH AVENUE BEAUTY BAR",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "112 HOLIDAY DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MARTINEZ",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "309071436",
      "state": "GA",
      "telephone_number": "706-627-8209"
    },
    {
      "address_1": "712 BOHLER AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "AUGUSTA",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "309043718",
      "state": "GA",
      "telephone_number": "706-627-8209"
    }
  ],
  "taxonomies": [
    {
      "code": "335E00000X",
      "desc": "Prosthetic/Orthotic Supplier",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "332B00000X",
      "desc": "Durable Medical Equipment & Medical Supplies",
      "license": null,
      "primary": true,
      "state": null,
      "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 Suppliers — Durable Medical Equipment & Medical Supplies",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "54",
        "medicare_type": "Other Medical Supply Company"
      },
      {
        "medicare_code": "58",
        "medicare_type": "Medical Supply Company with Pharmacist"
      },
      {
        "medicare_code": "87[3]",
        "medicare_type": "All Other Suppliers"
      },
      {
        "medicare_code": "A2[9]",
        "medicare_type": "Intermediate Care Nursing Facility"
      },
      {
        "medicare_code": "A6",
        "medicare_type": "Medical Supply Company with Respiratory Therapist"
      },
      {
        "medicare_code": "A7",
        "medicare_type": "Department Store"
      },
      {
        "medicare_code": "A8",
        "medicare_type": "Grocery Store"
      },
      {
        "medicare_code": "B3",
        "medicare_type": "Medical supply company with pedorthic personnel"
      }
    ]
  }
}