{
  "npi": "1811503741",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "KELSEY",
    "authorized_official_last_name": "PARRISH",
    "authorized_official_middle_name": "NICOLE",
    "authorized_official_name_prefix": "Ms.",
    "authorized_official_telephone_number": "7205003439",
    "authorized_official_title_or_position": "Practice Manager",
    "certification_date": "2020-09-16",
    "enumeration_date": "2020-09-16",
    "last_updated": "2020-09-16",
    "organization_name": "ALTITUDE KIDNEY HEALTH PLLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "730 SUMMIT BLVD",
      "address_2": "SUITE 101",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FRISCO",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "970-668-5650",
      "postal_code": "804435956",
      "state": "CO",
      "telephone_number": "970-668-1616"
    },
    {
      "address_1": "1260 S PARKER ROAD",
      "address_2": "STE 202",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "DENVER",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "720-500-3559",
      "postal_code": "802318064",
      "state": "CO",
      "telephone_number": "720-500-3439"
    }
  ],
  "taxonomies": [
    {
      "code": "207RN0300X",
      "desc": "Internal Medicine, Nephrology",
      "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 Nephrologist (Kidney Function, Stones & Dialysis Specialist)",
    "certifying_board": "American Board of Internal Medicine — Nephrology",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "11",
        "medicare_type": "Physician/Internal Medicine"
      },
      {
        "medicare_code": "39",
        "medicare_type": "Physician/Nephrology"
      }
    ]
  }
}