{
  "npi": "1770143208",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "LMT",
    "enumeration_date": "2019-06-17",
    "first_name": "DUANE",
    "last_name": "BOOMERSHINE",
    "last_updated": "2019-06-17",
    "middle_name": "ALLEN",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "436 SOUTHBROOK DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "GREENVILLE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "453311156",
      "state": "OH",
      "telephone_number": "306-870-2963"
    },
    {
      "address_1": "890 S BARRON ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "EATON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "888-789-0151",
      "postal_code": "453209362",
      "state": "OH",
      "telephone_number": "937-456-4555"
    }
  ],
  "taxonomies": [
    {
      "code": "225700000X",
      "desc": "Massage Therapist",
      "license": "33.023641",
      "primary": true,
      "state": "OH",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": true,
      "status": "EXCLUDED",
      "matches": [
        {
          "name": "DUANE ALLEN BOOMERSHINE",
          "npi": "1770143208",
          "specialty": "THERAPIST",
          "city": "LIMA",
          "state": "OH",
          "excl_type": "1128b4",
          "excl_date": "2023-10-19",
          "statute_desc": "Sec. 1128(b)(4) — License Revocation, Suspension, or Surrender"
        }
      ],
      "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 Massage Therapist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}