{
  "npi": "1962745646",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "OTRL",
    "enumeration_date": "2013-04-01",
    "first_name": "EMILY",
    "last_name": "CAMPBELL",
    "last_updated": "2019-07-15",
    "middle_name": "JEAN",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "266 KIDD ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FORT WALTON BEACH",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "850-244-0971",
      "postal_code": "325484478",
      "state": "FL",
      "telephone_number": "850-582-2689"
    },
    {
      "address_1": "2 SHERWOOD DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SHALIMAR",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "850-244-0971",
      "postal_code": "325791024",
      "state": "FL",
      "telephone_number": "408-786-7679"
    }
  ],
  "taxonomies": [
    {
      "code": "225XP0200X",
      "desc": "Occupational Therapist, Pediatrics",
      "license": "OT15000",
      "primary": true,
      "state": "FL",
      "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 Pediatrician (Infant, Child & Adolescent Medicine)",
    "certifying_board": "American Board of Pediatrics (ABP)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "67",
        "medicare_type": "Occupational Therapist in Private Practice"
      }
    ]
  }
}