{
  "npi": "1720065808",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2022-05-24",
    "credential": "SLP",
    "enumeration_date": "2005-12-29",
    "first_name": "KELLYE",
    "last_name": "JAROSZ",
    "last_updated": "2022-06-03",
    "name_prefix": "Mr.",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "413 E. LONDON ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BOWIE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "940-766-4943",
      "postal_code": "76230",
      "state": "TX",
      "telephone_number": "940-825-5061"
    },
    {
      "address_1": "413 E. LONDON ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "BOWIE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "76230",
      "state": "TX",
      "telephone_number": "940-825-5061"
    }
  ],
  "taxonomies": [
    {
      "code": "235Z00000X",
      "desc": "Speech-Language Pathologist,  ",
      "license": "100364",
      "primary": true,
      "state": "TX",
      "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 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"
      }
    ]
  }
}