{
  "npi": "1912920117",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "MD",
    "enumeration_date": "2006-07-26",
    "first_name": "ELIZABETH",
    "last_name": "ACKERSON",
    "last_updated": "2007-07-08",
    "middle_name": "K",
    "name_prefix": "--",
    "name_suffix": "--",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "100 FODEN ROAD EAST",
      "address_2": "SUITE 201",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SOUTH PORTLAND",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "207-874-1483",
      "postal_code": "04106",
      "state": "ME",
      "telephone_number": "207-828-0361"
    },
    {
      "address_1": "1685 CONGRESS STREET",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PORTLAND",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "207-774-3329",
      "postal_code": "04102",
      "state": "ME",
      "telephone_number": "207-774-5816"
    }
  ],
  "taxonomies": [
    {
      "code": "207R00000X",
      "desc": "Internal Medicine",
      "license": "012073",
      "primary": true,
      "state": "ME",
      "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": "Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)",
    "certifying_board": "American Board of Internal Medicine (ABIM)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "11",
        "medicare_type": "Physician/Internal Medicine"
      }
    ]
  }
}