{"entity":{"entity_id":"e1e5f974-fa50-4c4f-b522-8dcd3cb614e1","entity_type":"person","display_name":"KAREN MANNINO","state":"IN","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-11T19:24:03.060776+00:00","updated_at":"2026-06-11T19:24:03.060776+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"11186730","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1871634188","rule":"D-OP-NPI","recipient_profile_id":"11186730"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T08:52:33.072267+00:00","recorded_at":"2026-06-13T08:52:33.072267+00:00"},{"id_scheme":"npi","id_value":"1871634188","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1871634188","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-11T19:24:03.907044+00:00","recorded_at":"2026-06-11T19:24:03.907044+00:00"},{"id_scheme":"pac_id","id_value":"1456530575","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1871634188","rule":"D-PECOS","enrlmt_id":"I20110121000348","pecos_asct_cntl_id":"1456530575"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:50:23.263005+00:00","recorded_at":"2026-06-12T18:50:23.263005+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"I20110121000348","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1871634188","rule":"D-PECOS","enrlmt_id":"I20110121000348"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:50:23.263005+00:00","recorded_at":"2026-06-12T18:50:23.263005+00:00"}],"edges":[{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"eb5ea400-a96e-468d-adce-98f107e63e42","entity_type":"organization","display_name":"Bayer Healthcare Pharmaceuticals Inc.","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1871634188","manufacturer_id":"100000005467","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T14:41:29.679312+00:00","recorded_at":"2026-06-13T14:41:29.679312+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"ef18dc11-f311-4b0b-83e2-1df53f09a039","entity_type":"organization","display_name":"Exact Sciences Corporation","state":"WI"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1871634188","manufacturer_id":"100001341934","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:40:26.984304+00:00","recorded_at":"2026-06-13T20:40:26.984304+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"721a96a4-8c32-46db-ad63-2d26e19211cb","entity_type":"organization","display_name":"Medtronic, Inc.","state":"MN"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1871634188","manufacturer_id":"100000000106","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T21:52:14.849167+00:00","recorded_at":"2026-06-13T21:52:14.849167+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"97e8aee6-90d4-4143-b23d-8ff227f119bd","entity_type":"organization","display_name":"COLOPLAST CORP","state":"MN"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1871634188","manufacturer_id":"100000011212","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:01:56.743751+00:00","recorded_at":"2026-06-13T22:01:56.743751+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"cf82f7f5-9f0e-48d6-b2a2-56fbbcc1235b","entity_type":"organization","display_name":"PFIZER INC.","state":"NY"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1871634188","manufacturer_id":"100000000286","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T00:04:53.787193+00:00","recorded_at":"2026-06-14T00:04:53.787193+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"34b53bb4-e1dc-4b5d-ae94-0fc0b08a251d","entity_type":"organization","display_name":"Organon Llc","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1871634188","manufacturer_id":"100000866821","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T01:55:09.212011+00:00","recorded_at":"2026-06-14T01:55:09.212011+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"b19fc3df-bc10-48d5-9730-c0cc09b3112d","entity_type":"organization","display_name":"Astellas Pharma US Inc","state":"IL"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1871634188","manufacturer_id":"100000000137","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:37:27.668843+00:00","recorded_at":"2026-06-14T02:37:27.668843+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"fd3c2749-8925-4881-b0ff-a50346cb3479","entity_type":"organization","display_name":"Sumitomo Pharma America, Inc.","state":"MA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1871634188","manufacturer_id":"100001316929","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:10:45.230749+00:00","recorded_at":"2026-06-14T05:10:45.230749+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"f2641770-df0d-4ac2-a0e6-1c513fb05394","entity_type":"organization","display_name":"Exeltis, USA Inc.","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1871634188","manufacturer_id":"100000136420","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:19:42.077786+00:00","recorded_at":"2026-06-14T05:19:42.077786+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"a4f3ee02-e5f3-422f-9198-f081fec43b76","entity_type":"organization","display_name":"Agile Therapeutics, Inc.","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1871634188","manufacturer_id":"100000921825","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:37:53.914985+00:00","recorded_at":"2026-06-14T06:37:53.914985+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}