{
  "npi": "1639774722",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "DNP, APRN",
    "authorized_official_first_name": "ASHLEY",
    "authorized_official_last_name": "JAMES",
    "authorized_official_middle_name": "DANIELLE",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_telephone_number": "8704139968",
    "authorized_official_title_or_position": "CEO/President",
    "certification_date": "2020-12-04",
    "enumeration_date": "2020-12-04",
    "last_updated": "2020-12-04",
    "organization_name": "AJ'S HEALTH & WELLNESS ENTERPRISES PLLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1400 W 43RD AVE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PINE BLUFF",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "870-535-0594",
      "postal_code": "716037010",
      "state": "AR",
      "telephone_number": "870-413-9968"
    },
    {
      "address_1": "1400 W 43RD AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PINE BLUFF",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "870-535-0594",
      "postal_code": "716037010",
      "state": "AR",
      "telephone_number": "870-413-9968"
    }
  ],
  "taxonomies": [
    {
      "code": "207Q00000X",
      "desc": "Family Medicine",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "363LF0000X",
      "desc": "Nurse Practitioner, Family",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "364SA2100X",
      "desc": "Clinical Nurse Specialist, Acute Care",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "364SC0200X",
      "desc": "Clinical Nurse Specialist, Critical Care Medicine",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "163WD0400X",
      "desc": "Registered Nurse, Diabetes Educator",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty 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, Diabetes Educator",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}