{
  "npi": "1669160982",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2023-05-02",
    "credential": "RDN",
    "enumeration_date": "2023-04-25",
    "first_name": "SAMANTHA",
    "last_name": "BERNHARDT",
    "last_updated": "2023-05-02",
    "sex": "F",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "4359 E ENON RD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "YELLOW SPRINGS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "937-917-8048",
      "postal_code": "453879708",
      "state": "OH",
      "telephone_number": "937-206-1131"
    },
    {
      "address_1": "2025 RIVERSIDE DR STE 204",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "UPPER ARLINGTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "937-917-8048",
      "postal_code": "432214012",
      "state": "OH",
      "telephone_number": "937-206-1131"
    }
  ],
  "taxonomies": [
    {
      "code": "133V00000X",
      "desc": "Dietitian, Registered",
      "license": "APP-000715981",
      "primary": true,
      "state": "OH",
      "taxonomy_group": "193400000X - Single 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 Dietary & Nutritional Service Providers — Dietician, Registered",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "71",
        "medicare_type": "Registered Dietitian or Nutrition Professional"
      }
    ]
  }
}