{
  "npi": "1972281715",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2023-07-11",
    "credential": "aprn",
    "enumeration_date": "2023-07-11",
    "first_name": "JERRY",
    "last_name": "CAMPBELL",
    "last_updated": "2023-07-11",
    "middle_name": "LEE",
    "name_suffix": "Jr.",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1550 HIGHWAY 15 S STE 240",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "JACKSON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "606-824-5042",
      "postal_code": "413390709",
      "state": "KY",
      "telephone_number": "606-272-7533"
    },
    {
      "address_1": "1550 HIGHWAY 15 S STE 240",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "JACKSON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "606-824-5042",
      "postal_code": "413390709",
      "state": "KY",
      "telephone_number": "606-272-7533"
    }
  ],
  "taxonomies": [
    {
      "code": "363LP2300X",
      "desc": "Nurse Practitioner, Primary Care",
      "license": "4007079",
      "primary": true,
      "state": "KY",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "NPI": "1972281715",
      "LAST_NAME": "CAMPBELL",
      "FIRST_NAME": "JERRY",
      "PARTB": "Y",
      "DME": "Y",
      "HHA": "Y",
      "PMD": "Y",
      "HOSPICE": "N"
    }
  },
  "medicare_utilization": {
    "total_beneficiaries": "14",
    "total_services": "35",
    "total_medicare_allowed_amt": "680.08",
    "top_hcpcs_services": []
  },
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "50",
        "medicare_type": "Nurse Practitioner"
      }
    ]
  }
}