{
  "npi": "1700434149",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "Nurse Anesthesiology",
    "authorized_official_first_name": "LYNN",
    "authorized_official_last_name": "ULRICH",
    "authorized_official_middle_name": "M",
    "authorized_official_name_prefix": "Mrs.",
    "authorized_official_telephone_number": "3315756121",
    "authorized_official_title_or_position": "President",
    "enumeration_date": "2019-08-28",
    "last_updated": "2019-09-26",
    "organization_name": "ADVANTAGE ANESTHESIA P.C.",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1105 W PARK AVE STE 1",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "LIBERTYVILLE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "600482567",
      "state": "IL",
      "telephone_number": "331-575-6121"
    },
    {
      "address_1": "1056 SUFFOLK CT",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "GURNEE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "600315605",
      "state": "IL",
      "telephone_number": "331-575-6121"
    }
  ],
  "taxonomies": [
    {
      "code": "207L00000X",
      "desc": "Anesthesiology",
      "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": "Board-Certified Anesthesiologist & Interventional Pain Specialist",
    "certifying_board": "American Board of Anesthesiology (ABA)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "05",
        "medicare_type": "Physician/Anesthesiology"
      },
      {
        "medicare_code": "79",
        "medicare_type": "Physician/Addiction Medicine"
      }
    ]
  }
}