{
  "npi": "1528631702",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2026-06-02",
    "credential": "PA-C",
    "enumeration_date": "2021-07-23",
    "first_name": "CARLI",
    "last_name": "ABDULLAH",
    "last_updated": "2026-06-02",
    "middle_name": "TYLER",
    "name_prefix": "Ms.",
    "sex": "F",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "4097 PAINTED LADY AVE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "LAS VEGAS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "891419050",
      "state": "NV",
      "telephone_number": "702-917-1424"
    },
    {
      "address_1": "500 E WINDMILL LN STE 155",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "LAS VEGAS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "891231844",
      "state": "NV",
      "telephone_number": "702-800-2723"
    }
  ],
  "taxonomies": [
    {
      "code": "363A00000X",
      "desc": "Physician Assistant",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193400000X - Single 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 Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "97",
        "medicare_type": "Physician Assistant"
      }
    ]
  }
}