{
  "npi": "1962839464",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "CHRISTI",
    "authorized_official_last_name": "VOGRIG-NICKS",
    "authorized_official_middle_name": "I",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "7085253173",
    "authorized_official_title_or_position": "Director of Patient Accounts",
    "enumeration_date": "2013-09-30",
    "last_updated": "2014-05-23",
    "organization_name": "A-ADVANCE AMBULANCE LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "9850 W 190TH ST STE B-1",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MOKENA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "708-478-8653",
      "postal_code": "604485604",
      "state": "IL",
      "telephone_number": "708-525-3173"
    },
    {
      "address_1": "9850 W. 190 STREET SUITE B-7",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MOKENA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "773-774-4744",
      "postal_code": "604485606",
      "state": "IL",
      "telephone_number": "708-525-3173"
    }
  ],
  "taxonomies": [
    {
      "code": "3416L0300X",
      "desc": "Ambulance, Land Transport",
      "license": "8963",
      "primary": true,
      "state": "IL",
      "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 Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance",
    "certifying_board": "State EMS Authority / National Registry of Emergency Medical Technicians (NREMT)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "59",
        "medicare_type": "Ambulance Service Provider"
      }
    ]
  }
}