{
  "npi": "1609581099",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "M.S. CCC-SLP",
    "authorized_official_first_name": "MARIAH",
    "authorized_official_last_name": "TILLEY",
    "authorized_official_telephone_number": "8287768120",
    "authorized_official_title_or_position": "Owner/Speech Therapist",
    "certification_date": "2026-01-15",
    "enumeration_date": "2023-01-19",
    "last_updated": "2026-01-15",
    "organization_name": "CAROLINA SPEECH AND NEURO REHAB, PLLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "20 OLD SHARON RD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "FAIRVIEW",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "828-579-2415",
      "postal_code": "287307790",
      "state": "NC",
      "telephone_number": "828-776-8120"
    },
    {
      "address_1": "802 FAIRVIEW RD STE 4000",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ASHEVILLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "828-579-2415",
      "postal_code": "288031170",
      "state": "NC",
      "telephone_number": "828-214-7899"
    }
  ],
  "taxonomies": [
    {
      "code": "261QH0700X",
      "desc": "Clinic/Center, Hearing and Speech",
      "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 Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": []
  }
}