{
  "npi": "1982090601",
  "enumeration_type": "NPI-1",
  "basic": {
    "enumeration_date": "2015-04-09",
    "first_name": "ETHELINDA",
    "last_name": "BENALLY",
    "last_updated": "2015-04-09",
    "middle_name": "W",
    "name_prefix": "--",
    "name_suffix": "--",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 160",
      "address_2": "ATTN: PHN",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SHIPROCK",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "505-368-7416",
      "postal_code": "874200160",
      "state": "NM",
      "telephone_number": "505-368-7405"
    },
    {
      "address_1": "US HWY 491 N",
      "address_2": "NORTHERN NAVAJO MEDICAL CENTER",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "SHIPROCK",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "505-368-7416",
      "postal_code": "87420",
      "state": "NM",
      "telephone_number": "505-368-7405"
    }
  ],
  "taxonomies": [
    {
      "code": "163WC1500X",
      "desc": "Registered Nurse, Community Health",
      "license": "R48677",
      "primary": true,
      "state": "NM",
      "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 Registered Nurse, Community Health",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}