{
  "npi": "1992979595",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2023-12-14",
    "credential": "M.S., CCC-SLP",
    "enumeration_date": "2008-04-15",
    "first_name": "SARAH",
    "last_name": "KHAN",
    "last_updated": "2023-12-14",
    "middle_name": "C",
    "sex": "F",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "20900 ROLAND HEIGHTS RD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ROLAND",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "501-868-6498",
      "postal_code": "721359685",
      "state": "AR",
      "telephone_number": "501-868-4740"
    },
    {
      "address_1": "156 DUTCH HILL RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BLOOMSBURG",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "178159566",
      "state": "PA",
      "telephone_number": "501-519-1850"
    }
  ],
  "taxonomies": [
    {
      "code": "235Z00000X",
      "desc": "Speech-Language Pathologist,  ",
      "license": "SL017362",
      "primary": true,
      "state": "PA",
      "taxonomy_group": ""
    },
    {
      "code": "235Z00000X",
      "desc": "Speech-Language Pathologist,  ",
      "license": "sp#P8081",
      "primary": false,
      "state": "AR",
      "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 Speech, Language and Hearing Service Providers",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "15",
        "medicare_type": "Speech Language Pathologist"
      }
    ]
  }
}