{
  "npi": "1629671342",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2023-08-23",
    "credential": "NP",
    "enumeration_date": "2020-11-17",
    "first_name": "TIA",
    "last_name": "GABLE",
    "last_updated": "2023-08-23",
    "middle_name": "MIRANDA",
    "name_prefix": "Mrs.",
    "sex": "F",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "3257 CHATTANOOGA VALLEY RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FLINTSTONE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "706-841-7800",
      "postal_code": "307252387",
      "state": "GA",
      "telephone_number": "706-841-7700"
    },
    {
      "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "TAMPA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "800-928-7449",
      "postal_code": "336025925",
      "state": "FL",
      "telephone_number": "800-480-5243"
    }
  ],
  "taxonomies": [
    {
      "code": "363LF0000X",
      "desc": "Nurse Practitioner, Family",
      "license": "RN199618",
      "primary": true,
      "state": "GA",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "NPI": "1629671342",
      "LAST_NAME": "GABLE",
      "FIRST_NAME": "TIA",
      "PARTB": "Y",
      "DME": "Y",
      "HHA": "Y",
      "PMD": "Y",
      "HOSPICE": "N"
    }
  },
  "medicare_utilization": {
    "total_beneficiaries": "72",
    "total_services": "657",
    "total_medicare_allowed_amt": "12496.78",
    "top_hcpcs_services": [
      {
        "code": "36415",
        "description": "Insertion of needle into vein for collection of blood sample",
        "services": "26",
        "beneficiaries": "19"
      },
      {
        "code": "87804",
        "description": "Detection test by immunoassay with direct visual observation for influenza virus",
        "services": "20",
        "beneficiaries": "11"
      },
      {
        "code": "96372",
        "description": "Injection of drug or substance under skin or into muscle",
        "services": "20",
        "beneficiaries": "14"
      },
      {
        "code": "99213",
        "description": "Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more",
        "services": "71",
        "beneficiaries": "56"
      },
      {
        "code": "99214",
        "description": "Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",
        "services": "46",
        "beneficiaries": "21"
      },
      {
        "code": "J1100",
        "description": "Injection, dexamethasone sodium phosphate, 1 mg",
        "services": "56",
        "beneficiaries": "12"
      }
    ]
  },
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "50",
        "medicare_type": "Nurse Practitioner"
      }
    ]
  }
}