{
  "npi": "1881750115",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "RNC",
    "enumeration_date": "2006-12-29",
    "first_name": "JERRI",
    "last_name": "KETTMAN",
    "last_updated": "2007-07-08",
    "middle_name": "LYN",
    "name_prefix": "--",
    "name_suffix": "--",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "17 BRIDGER MT ROAD SOUTH",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CLANCY",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "59634",
      "state": "MT",
      "telephone_number": "406-443-0140"
    },
    {
      "address_1": "FORT HARRISON VAMC",
      "address_2": "1892 WILLIAMS STREET",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FORT HARRISON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "409-447-7965",
      "postal_code": "59636",
      "state": "MT",
      "telephone_number": "406-447-7596"
    }
  ],
  "taxonomies": [
    {
      "code": "163WP0808X",
      "desc": "Registered Nurse, Psych/Mental Health",
      "license": "0148096-03",
      "primary": true,
      "state": "MT",
      "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 Registered Nurse, Psych/Mental Health",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}