{
  "npi": "1881199396",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2023-04-04",
    "enumeration_date": "2018-03-27",
    "first_name": "TARA",
    "last_name": "BLACKSHEAR",
    "last_updated": "2023-04-04",
    "middle_name": "RENEE",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "655 W 8TH ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "JACKSONVILLE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "322096511",
      "state": "FL",
      "telephone_number": "904-244-7118"
    },
    {
      "address_1": "450077 STATE ROAD 200 STE 12",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CALLAHAN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "320113863",
      "state": "FL",
      "telephone_number": "904-633-0560"
    }
  ],
  "taxonomies": [
    {
      "code": "363LF0000X",
      "desc": "Nurse Practitioner, Family",
      "license": "9342671",
      "primary": true,
      "state": "FL",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "NPI": "1881199396",
      "LAST_NAME": "BLACKSHEAR",
      "FIRST_NAME": "TARA",
      "PARTB": "Y",
      "DME": "Y",
      "HHA": "Y",
      "PMD": "Y",
      "HOSPICE": "N"
    }
  },
  "medicare_utilization": {
    "total_beneficiaries": "103",
    "total_services": "506",
    "total_medicare_allowed_amt": "26169.49",
    "top_hcpcs_services": [
      {
        "code": "36415",
        "description": "Insertion of needle into vein for collection of blood sample",
        "services": "97",
        "beneficiaries": "69"
      },
      {
        "code": "99213",
        "description": "Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more",
        "services": "27",
        "beneficiaries": "26"
      },
      {
        "code": "99214",
        "description": "Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",
        "services": "86",
        "beneficiaries": "50"
      },
      {
        "code": "G0008",
        "description": "Administration of influenza virus vaccine",
        "services": "12",
        "beneficiaries": "12"
      },
      {
        "code": "G0439",
        "description": "Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit",
        "services": "44",
        "beneficiaries": "44"
      },
      {
        "code": "G0444",
        "description": "Annual depression screening, 5 to 15 minutes",
        "services": "21",
        "beneficiaries": "21"
      },
      {
        "code": "G2211",
        "description": "Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's",
        "services": "97",
        "beneficiaries": "57"
      }
    ]
  },
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "50",
        "medicare_type": "Nurse Practitioner"
      }
    ]
  }
}