{
  "npi": "1699988477",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "A.",
    "authorized_official_last_name": "BERNINI",
    "authorized_official_middle_name": "SUSAN",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "2154567890",
    "authorized_official_title_or_position": "COO",
    "enumeration_date": "2007-05-08",
    "last_updated": "2009-04-10",
    "organization_name": "AHASHTA JOHNSON",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "6701 N 7TH ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PHILADELPHIA",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "191263024",
      "state": "PA",
      "telephone_number": "267-235-2696"
    },
    {
      "address_1": "5501 OLD YORK RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PHILA",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "191413018",
      "state": "PA",
      "telephone_number": "215-456-7890"
    }
  ],
  "taxonomies": [
    {
      "code": "390200000X",
      "desc": "Student in an Organized Health Care Education/Training Program",
      "license": "MT185979",
      "primary": true,
      "state": "PA",
      "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 Student in an Organized Health Care Education/Training Program",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}