{
  "npi": "1982405577",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "CARMEN",
    "authorized_official_last_name": "GOTA",
    "authorized_official_middle_name": "E",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_telephone_number": "4352926492",
    "authorized_official_title_or_position": "Provider",
    "certification_date": "2026-09-28",
    "enumeration_date": "2025-03-20",
    "last_updated": "2026-09-28",
    "organization_name": "SLIMWELL HEALTH LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 790128",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "VIRGIN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "434-355-3950",
      "postal_code": "847790128",
      "state": "UT",
      "telephone_number": "435-292-6492"
    },
    {
      "address_1": "736 S 900 E STE 104",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ST GEORGE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "434-355-3950",
      "postal_code": "847907001",
      "state": "UT",
      "telephone_number": "435-292-6492"
    }
  ],
  "taxonomies": [
    {
      "code": "207RR0500X",
      "desc": "Internal Medicine, Rheumatology",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "261QP2300X",
      "desc": "Clinic/Center, Primary Care",
      "license": null,
      "primary": true,
      "state": null,
      "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 Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": []
  }
}