{
  "npi": "1790761146",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "ATC, CSCS.",
    "enumeration_date": "2005-12-19",
    "first_name": "CY",
    "last_name": "GARNER",
    "last_updated": "2007-07-08",
    "middle_name": "LYNN",
    "name_prefix": "--",
    "name_suffix": "--",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "825 S WASHINGTON AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "EMMETT",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "208-365-4384",
      "postal_code": "836173528",
      "state": "ID",
      "telephone_number": "208-365-4400"
    },
    {
      "address_1": "11485 W TEMPE LN",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "STAR",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "836695093",
      "state": "ID",
      "telephone_number": "208-484-0805"
    }
  ],
  "taxonomies": [
    {
      "code": "2255A2300X",
      "desc": "Specialist/Technologist, Athletic Trainer",
      "license": "AT-267",
      "primary": true,
      "state": "ID",
      "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 Specialist/Technologist, Athletic Trainer",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}