{
  "npi": "1669238291",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "PMHNP",
    "authorized_official_first_name": "AKUEBA",
    "authorized_official_last_name": "AKAKPO",
    "authorized_official_middle_name": "MINASSEH",
    "authorized_official_telephone_number": "3478919063",
    "authorized_official_title_or_position": "Owner",
    "certification_date": "2024-03-11",
    "enumeration_date": "2024-02-21",
    "last_updated": "2024-03-11",
    "organization_name": "AKUEBA MINASSEH AKAKPO SITTU",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "505 E GRAND AVE STE 200",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "DES MOINES",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "503091977",
      "state": "IA",
      "telephone_number": "347-891-9063"
    },
    {
      "address_1": "10500 CATALINA DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "JOHNSTON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "501313129",
      "state": "IA",
      "telephone_number": "347-891-9063"
    }
  ],
  "taxonomies": [
    {
      "code": "364SP0808X",
      "desc": "Clinical Nurse Specialist, Psych/Mental Health",
      "license": null,
      "primary": true,
      "state": null,
      "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 Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "89",
        "medicare_type": "Certified Clinical Nurse Specialist"
      }
    ]
  }
}