{
  "npi": "1568085710",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2023-02-09",
    "credential": "DPM",
    "enumeration_date": "2020-05-22",
    "first_name": "KELSEY",
    "last_name": "KROTIAK",
    "last_updated": "2023-02-09",
    "middle_name": "L",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "5666 E STATE ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ROCKFORD",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "611082425",
      "state": "IL",
      "telephone_number": "815-226-2000"
    },
    {
      "address_1": "479 EISENHOWER ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MARENGO",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "601529565",
      "state": "IL",
      "telephone_number": "716-997-7857"
    }
  ],
  "taxonomies": [
    {
      "code": "390200000X",
      "desc": "Student in an Organized Health Care Education/Training Program",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "213E00000X",
      "desc": "Podiatrist",
      "license": "135.001091",
      "primary": true,
      "state": "IL",
      "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 Podiatric Medicine & Surgery Service Providers — Podiatrist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "48",
        "medicare_type": "Podiatry"
      }
    ]
  }
}