{
  "npi": "1629168695",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "SARAH",
    "authorized_official_last_name": "BERRY",
    "authorized_official_middle_name": "J",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "5078350685",
    "authorized_official_title_or_position": "Director",
    "certification_date": "2020-03-17",
    "enumeration_date": "2006-10-13",
    "last_updated": "2020-03-17",
    "organization_name": "COUNTY OF WASECA",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1000 ELM AVE W",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WASECA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "507-835-0687",
      "postal_code": "560931923",
      "state": "MN",
      "telephone_number": "507-835-0685"
    },
    {
      "address_1": "299 JOHNSON AVENUE SW",
      "address_2": "SUITE 160",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "WASECA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "507-835-0687",
      "postal_code": "56093",
      "state": "MN",
      "telephone_number": "507-835-0685"
    }
  ],
  "taxonomies": [
    {
      "code": "251K00000X",
      "desc": "Public Health or Welfare",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "251K00000X",
      "desc": "Public Health or Welfare",
      "license": null,
      "primary": true,
      "state": "MN",
      "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 Agencies — Public Health or Welfare",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "60",
        "medicare_type": "Public Health or Welfare Agency"
      }
    ]
  }
}