{
  "npi": "1891515417",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2026-02-04",
    "enumeration_date": "2024-10-17",
    "first_name": "AMANDA",
    "last_name": "BURK",
    "last_updated": "2026-02-04",
    "middle_name": "HAYES",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2050 MEADOWVIEW PKWY",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "KINGSPORT",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "423-390-6852",
      "postal_code": "376607475",
      "state": "TN",
      "telephone_number": "423-230-5000"
    },
    {
      "address_1": "1021 W OAKLAND AVE STE 310",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "JOHNSON CITY",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "376042192",
      "state": "TN",
      "telephone_number": "423-952-2111"
    }
  ],
  "taxonomies": [
    {
      "code": "363LG0600X",
      "desc": "Nurse Practitioner, Gerontology",
      "license": "0024194871",
      "primary": false,
      "state": "VA",
      "taxonomy_group": ""
    },
    {
      "code": "363LG0600X",
      "desc": "Nurse Practitioner, Gerontology",
      "license": "37099",
      "primary": true,
      "state": "TN",
      "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 Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "50",
        "medicare_type": "Nurse Practitioner"
      }
    ]
  }
}