{
  "npi": "1750755252",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "MARY",
    "authorized_official_last_name": "PIGEON",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "8025248954",
    "authorized_official_title_or_position": "Credentialing Specialist",
    "enumeration_date": "2015-11-20",
    "last_updated": "2015-11-24",
    "organization_name": "NORTHWESTERN MEDICAL CENTER, INC.",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "133 FAIRFIELD ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SAINT ALBANS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "802-524-1057",
      "postal_code": "054781726",
      "state": "VT",
      "telephone_number": "802-524-8911"
    },
    {
      "address_1": "12 1ST ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "SWANTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "802-868-3457",
      "postal_code": "054881206",
      "state": "VT",
      "telephone_number": "802-527-8189"
    }
  ],
  "taxonomies": [
    {
      "code": "208000000X",
      "desc": "Pediatrics",
      "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 Pediatrician (Infant, Child & Adolescent Medicine)",
    "certifying_board": "American Board of Pediatrics (ABP)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "37",
        "medicare_type": "Physician/Pediatric Medicine"
      }
    ]
  }
}