{
  "npi": "1619897592",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2026-07-20",
    "credential": "RN",
    "enumeration_date": "2026-07-20",
    "first_name": "MARK",
    "last_name": "FASSETT",
    "last_updated": "2026-07-20",
    "middle_name": "RAYMOND",
    "name_suffix": "Jr.",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "4790 WILDWOOD DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "HARRISON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "486259650",
      "state": "MI",
      "telephone_number": "989-387-7698"
    },
    {
      "address_1": "655 E CEDAR AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "GLADWIN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "486242215",
      "state": "MI",
      "telephone_number": "989-426-9295"
    }
  ],
  "taxonomies": [
    {
      "code": "163W00000X",
      "desc": "Registered Nurse",
      "license": "4704392567",
      "primary": true,
      "state": "MI",
      "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 Registered Nurse",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}