{
  "npi": "1811239684",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2021-02-16",
    "credential": "PA-C",
    "enumeration_date": "2013-03-20",
    "first_name": "MICHELLE",
    "last_name": "CAREY",
    "last_updated": "2021-02-16",
    "middle_name": "E.",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "108 S FRONTAGE RD W STE 101",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "VAIL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "970-926-6348",
      "postal_code": "816575087",
      "state": "CO",
      "telephone_number": "970-926-6340"
    },
    {
      "address_1": "PO BOX 4330",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "AVON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "970-926-6348",
      "postal_code": "816204330",
      "state": "CO",
      "telephone_number": "709-266-3409"
    }
  ],
  "taxonomies": [
    {
      "code": "363A00000X",
      "desc": "Physician Assistant",
      "license": "PA4662",
      "primary": false,
      "state": "MA",
      "taxonomy_group": ""
    },
    {
      "code": "363A00000X",
      "desc": "Physician Assistant",
      "license": "PA.0004242",
      "primary": true,
      "state": "CO",
      "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 Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "97",
        "medicare_type": "Physician Assistant"
      }
    ]
  }
}