{
  "npi": "1619367513",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "COTA/L",
    "enumeration_date": "2015-01-29",
    "first_name": "PATRICIA",
    "last_name": "AUGUSTINE",
    "last_updated": "2018-05-23",
    "middle_name": "ANN",
    "sex": "F",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "485 S WATSON RD STE 103",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "BUCKEYE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "853263453",
      "state": "AZ",
      "telephone_number": "949-394-3789"
    },
    {
      "address_1": "11024 N 28TH DR STE 140",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PHOENIX",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "85029",
      "state": "AZ",
      "telephone_number": "602-626-8851"
    }
  ],
  "taxonomies": [
    {
      "code": "224Z00000X",
      "desc": "Occupational Therapy Assistant",
      "license": "7419",
      "primary": true,
      "state": "AZ",
      "taxonomy_group": ""
    },
    {
      "code": "225X00000X",
      "desc": "Occupational Therapist",
      "license": "2522",
      "primary": false,
      "state": "CA",
      "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 Occupational Therapy Assistant",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}