{
  "npi": "1871780825",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "RN",
    "authorized_official_first_name": "ALI",
    "authorized_official_last_name": "SEELING",
    "authorized_official_name_prefix": "Mrs.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "9135922720",
    "authorized_official_title_or_position": "Practice Manager",
    "enumeration_date": "2007-10-03",
    "last_updated": "2017-08-16",
    "organization_name": "JERAD WIDMAN",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "22450 S HARRISON ST",
      "address_2": "SUITE 100",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "SPRING HILL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "913-592-2725",
      "postal_code": "660838882",
      "state": "KS",
      "telephone_number": "913-592-2720"
    },
    {
      "address_1": "22450 S HARRISON ST",
      "address_2": "SUITE 100",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SPRING HILL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "913-592-2725",
      "postal_code": "660838882",
      "state": "KS",
      "telephone_number": "913-592-2720"
    }
  ],
  "taxonomies": [
    {
      "code": "207Q00000X",
      "desc": "Family Medicine",
      "license": "KS0430763",
      "primary": true,
      "state": "KS",
      "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 Family Medicine Physician (All-Ages Primary Care Doctor)",
    "certifying_board": "American Board of Family Medicine (ABFM)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "08",
        "medicare_type": "Physician/Family Practice"
      }
    ]
  }
}