{
  "npi": "1710459227",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "RD",
    "enumeration_date": "2018-12-21",
    "first_name": "HUNTER",
    "last_name": "BAHRE",
    "last_updated": "2019-11-15",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "220 ALBANY TPKE UNIT 1",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CANTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "860-676-2442",
      "postal_code": "060197000",
      "state": "CT",
      "telephone_number": "860-299-6000"
    },
    {
      "address_1": "222 MAIN ST STE 276",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "FARMINGTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "860-676-2442",
      "postal_code": "060323623",
      "state": "CT",
      "telephone_number": "860-299-6000"
    }
  ],
  "taxonomies": [
    {
      "code": "133V00000X",
      "desc": "Dietitian, Registered",
      "license": "59.001828",
      "primary": true,
      "state": "CT",
      "taxonomy_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 Dietary & Nutritional Service Providers — Dietician, Registered",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "71",
        "medicare_type": "Registered Dietitian or Nutrition Professional"
      }
    ]
  }
}