{
  "npi": "1689267619",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "APRN-FNPBC",
    "authorized_official_first_name": "JENNIFER",
    "authorized_official_last_name": "GRIEBEL",
    "authorized_official_middle_name": "L.",
    "authorized_official_name_prefix": "Mrs.",
    "authorized_official_telephone_number": "9708465438",
    "authorized_official_title_or_position": "Operator/owner",
    "certification_date": "2021-02-20",
    "enumeration_date": "2021-02-20",
    "last_updated": "2021-02-20",
    "organization_name": "KIMBALL HIGH PLAINS HEALTH LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2 CRESTWOOD DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "KIMBALL",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "691451326",
      "state": "NE",
      "telephone_number": "970-846-5438"
    },
    {
      "address_1": "111 E 2ND ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "KIMBALL",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "691451208",
      "state": "NE",
      "telephone_number": "970-846-5438"
    }
  ],
  "taxonomies": [
    {
      "code": "208D00000X",
      "desc": "General Practice",
      "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 Allopathic & Osteopathic Physicians — General Practice",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "01",
        "medicare_type": "Physician/General Practice"
      },
      {
        "medicare_code": "99",
        "medicare_type": "Physician/Undefined Physician type[6]"
      }
    ]
  }
}