{
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  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2024-09-13",
    "credential": "DNP",
    "enumeration_date": "2023-01-30",
    "first_name": "RILEY",
    "last_name": "BLACK",
    "last_updated": "2024-09-13",
    "middle_name": "MACKENZIE",
    "name_prefix": "Dr.",
    "sex": "F",
    "sole_proprietor": "YES",
    "status": "A"
  },
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    {
      "address_1": "401 LOUISIANA AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "LIBBY",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "406-293-4780",
      "postal_code": "599232131",
      "state": "MT",
      "telephone_number": "406-283-7440"
    },
    {
      "address_1": "198 CHERRY CREEK DR",
      "address_purpose": "MAILING",
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      "city": "LIBBY",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "599237848",
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      "telephone_number": "406-291-1994"
    }
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    {
      "code": "163WP0808X",
      "desc": "Registered Nurse, Psych/Mental Health",
      "license": "LIC103602",
      "primary": false,
      "state": "MT",
      "taxonomy_group": ""
    },
    {
      "code": "363L00000X",
      "desc": "Nurse Practitioner",
      "license": "NUR-APRN-LIC-240991",
      "primary": true,
      "state": "MT",
      "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 Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "50",
        "medicare_type": "Nurse Practitioner"
      }
    ]
  }
}