{
  "npi": "1760039028",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "M.S., CCC/SLP",
    "authorized_official_first_name": "KRISTI",
    "authorized_official_last_name": "KELLY",
    "authorized_official_middle_name": "LEIGH",
    "authorized_official_telephone_number": "9706823743",
    "authorized_official_title_or_position": "Speech Pathologist",
    "enumeration_date": "2019-08-21",
    "last_updated": "2019-08-21",
    "organization_name": "ASPEN SPEECH THERAPY AND REHABILITATION LLC",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "ASPEN SPEECH THERAPY AND REHABILITATION LLC",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1136 E STUART ST STE 3120",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "FORT COLLINS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "805251196",
      "state": "CO",
      "telephone_number": "970-682-3743"
    },
    {
      "address_1": "4650 ROYAL VISTA CIR STE 100",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WINDSOR",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "805289321",
      "state": "CO",
      "telephone_number": "970-682-3743"
    }
  ],
  "taxonomies": [
    {
      "code": "235Z00000X",
      "desc": "Speech-Language Pathologist,  ",
      "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 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"
      }
    ]
  }
}