{
  "npi": "1700055720",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MEd, CCC-SLP",
    "authorized_official_first_name": "MARGIE",
    "authorized_official_last_name": "COMERFORD",
    "authorized_official_middle_name": "MCPHERSON",
    "authorized_official_name_prefix": "Mrs.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "7039990813",
    "authorized_official_title_or_position": "Co-Owner",
    "enumeration_date": "2008-02-24",
    "last_updated": "2008-02-24",
    "organization_name": "BROADLANDS SPEECH AND LANGUAGE P.C.",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "43867 HIBISCUS DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ASHBURN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "201475649",
      "state": "VA"
    },
    {
      "address_1": "42882 TRURO PARISH DR",
      "address_2": "SUITE 206",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BROADLANDS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "866-314-8934",
      "postal_code": "201484456",
      "state": "VA",
      "telephone_number": "703-999-0813"
    }
  ],
  "taxonomies": [
    {
      "code": "235Z00000X",
      "desc": "Speech-Language Pathologist,  ",
      "license": "2202004747",
      "primary": true,
      "state": "VA",
      "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 Speech, Language and Hearing Service Providers",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "15",
        "medicare_type": "Speech Language Pathologist"
      }
    ]
  }
}