{"ok":true,"object":{"id":"atm_npi_1134277254","kind":"Clinician","name":"Dr. GARY KEITH HERMANSEN NP","parent_id":"atm_geoid_060411281003020","depth":null,"facts":{"npi":"1134277254","status":"A","address":"308 DONAHUE ST, SAUSALITO, CA, 949651032","license":"7066932-8900","taxonomy":"Nurse Practitioner, Psych/Mental Health","other_names":[],"last_updated":"2019-07-17","license_state":"UT","taxonomy_code":"363LP0808X","all_taxonomies":["Nurse Practitioner, Psych/Mental Health","Chiropractor"],"sole_proprietor":"NO","enumeration_date":"2007-01-08","enumeration_type":"NPI-1","practice_locations":0},"source_id":"src_7ede3ebe4ab3cdf3f721","updated_at":"2026-10-10T03:20:33.934Z","type":"Feature","geometry":{"type":"Point","coordinates":[-122.515632,37.876309]},"links":{"self":"https://miscsubjects.com/atlas/atoms/atm_npi_1134277254","children":"https://miscsubjects.com/atlas/atoms/atm_npi_1134277254/children","descendants":"https://miscsubjects.com/atlas/atoms/atm_npi_1134277254/descendants","inside":"https://miscsubjects.com/atlas/atoms/atm_npi_1134277254/inside","graph":"https://miscsubjects.com/atlas/graph?start=atm_npi_1134277254","page":"https://miscsubjects.com/graph/atlas:atm_npi_1134277254","json":"https://miscsubjects.com/graph/atlas:atm_npi_1134277254.json"},"ancestors":[{"id":"atm_geoid_060411281003020","kind":"CensusBlock","name":"Block 3020","up":1},{"id":"atm_geoid_060411281003","kind":"CensusBlockGroup","name":"Block Group 3","up":2},{"id":"atm_geoid_06041128100","kind":"CensusTract","name":"Census Tract 1281","up":3},{"id":"atm_geoid_06041","kind":"County","name":"Marin County","up":4},{"id":"atm_geoid_06","kind":"State","name":"California","up":5},{"id":"atm_geoid_us","kind":"Country","name":"United States","up":6}],"children_by_kind":[],"edges_out":[{"rel":"has_profession","id":"atm_profession_1ee8cd208728c283108e25ac","kind":"Profession","name":"Nurse Practitioner, Psych/Mental Health","share":null}],"edges_in":[],"edges_in_total":0,"external_ids":[{"system":"npi","value":"1134277254"}],"source":{"id":"src_7ede3ebe4ab3cdf3f721","url":"https://npiregistry.cms.hhs.gov/api/?version=2.1&limit=200&skip=0&state=CA&postal_code=94965*&address_purpose=LOCATION&enumeration_type=NPI-1","license":"CMS NPPES NPI Registry, public domain","read_at":"2026-10-10T03:19:21.779Z","sha256":"ce7c2509373689b293499c8cced4668a29d676d2b75a463ba4a6f0a199d33c4d"},"observations":[],"edges_out_total":1,"entities":{"atm_npi_1134277254":{"id":"atm_npi_1134277254","label":"Dr. GARY KEITH HERMANSEN NP","type":"Clinician","page":"https://miscsubjects.com/graph/atlas:atm_npi_1134277254","json":"https://miscsubjects.com/graph/atlas:atm_npi_1134277254.json"},"atm_geoid_060411281003020":{"id":"atm_geoid_060411281003020","label":"Block 3020","type":"CensusBlock","page":"https://miscsubjects.com/graph/atlas:atm_geoid_060411281003020","json":"https://miscsubjects.com/graph/atlas:atm_geoid_060411281003020.json"},"atm_geoid_060411281003":{"id":"atm_geoid_060411281003","label":"Block Group 3","type":"CensusBlockGroup","page":"https://miscsubjects.com/graph/atlas:atm_geoid_060411281003","json":"https://miscsubjects.com/graph/atlas:atm_geoid_060411281003.json"},"atm_geoid_06041128100":{"id":"atm_geoid_06041128100","label":"Census Tract 1281","type":"CensusTract","page":"https://miscsubjects.com/graph/atlas:atm_geoid_06041128100","json":"https://miscsubjects.com/graph/atlas:atm_geoid_06041128100.json"},"atm_geoid_06041":{"id":"atm_geoid_06041","label":"Marin County","type":"County","page":"https://miscsubjects.com/graph/atlas:atm_geoid_06041","json":"https://miscsubjects.com/graph/atlas:atm_geoid_06041.json"},"atm_geoid_06":{"id":"atm_geoid_06","label":"California","type":"State","page":"https://miscsubjects.com/graph/atlas:atm_geoid_06","json":"https://miscsubjects.com/graph/atlas:atm_geoid_06.json"},"atm_geoid_us":{"id":"atm_geoid_us","label":"United States","type":"Country","page":"https://miscsubjects.com/graph/atlas:atm_geoid_us","json":"https://miscsubjects.com/graph/atlas:atm_geoid_us.json"},"atm_profession_1ee8cd208728c283108e25ac":{"id":"atm_profession_1ee8cd208728c283108e25ac","label":"Nurse Practitioner, Psych/Mental Health","type":"Profession","page":"https://miscsubjects.com/graph/atlas:atm_profession_1ee8cd208728c283108e25ac","json":"https://miscsubjects.com/graph/atlas:atm_profession_1ee8cd208728c283108e25ac.json"}},"relationships":{"upward":{"predicate":"part_of","parent_ref":"atm_geoid_060411281003020","ancestors":[{"ref":"atm_geoid_060411281003020","distance":1},{"ref":"atm_geoid_060411281003","distance":2},{"ref":"atm_geoid_06041128100","distance":3},{"ref":"atm_geoid_06041","distance":4},{"ref":"atm_geoid_06","distance":5},{"ref":"atm_geoid_us","distance":6}],"order":"nearest parent first"},"downward":{"predicate":"part_of","total":0,"by_kind":[]},"sideways":{"outgoing":{"returned":1,"total":1,"items":[{"subject":"atm_npi_1134277254","predicate":"has_profession","object":"atm_profession_1ee8cd208728c283108e25ac","ref":"atm_profession_1ee8cd208728c283108e25ac"}]},"incoming":{"returned":0,"total":0,"items":[]},"json":"https://miscsubjects.com/atlas/atoms/atm_npi_1134277254/edges?limit=100&offset=0"}},"reference_contract":{"entity_lookup":"entities[ref]","directions":"Parent/ancestors and children describe the stored parent hierarchy. Edges retain their own predicates and subject/object direction; they do not imply containment.","counts":"Counts refer to source objects, not necessarily distinct people or physical properties. A null total is unknown, not zero.","pagination":"Child pages use limit (maximum 500), offset and optional kind. Edge pages apply offset separately to incoming and outgoing lists. Follow each canonical JSON link to continue traversal.","fact_scope":"Facts belong to this object. Collection membership, professional presence, mailing city and an associated parcel do not establish residence or transfer jurisdiction.","source_hash":"source.sha256 describes the source provenance; it is not a hash of this JSON response."}}}