{
  "npi": "1750094181",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "Pharm. D.",
    "authorized_official_first_name": "JORDAN",
    "authorized_official_last_name": "CALL",
    "authorized_official_middle_name": "DALE",
    "authorized_official_telephone_number": "9285364322",
    "authorized_official_title_or_position": "Owner",
    "certification_date": "2023-01-03",
    "enumeration_date": "2022-12-30",
    "last_updated": "2023-01-03",
    "organization_name": "CALL'S COMMUNITY CLINIC, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 246",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SNOWFLAKE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "928-536-2395",
      "postal_code": "859370246",
      "state": "AZ",
      "telephone_number": "928-536-4322"
    },
    {
      "address_1": "815 MAIN STREET SUITE D",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "TAYLOR",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "928-536-2395",
      "postal_code": "85939",
      "state": "AZ",
      "telephone_number": "928-536-4322"
    }
  ],
  "taxonomies": [
    {
      "code": "363LF0000X",
      "desc": "Nurse Practitioner, Family",
      "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": "Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "50",
        "medicare_type": "Nurse Practitioner"
      }
    ]
  }
}