{"npi":"1205565504","type":"NPI-1","status":"active","name":{"display":"Michaela Bailly PA-C","other":[],"first":"MICHAELA","last":"BAILLY","middle":"CHARLOTTE","credential":"PA-C"},"specialty":{"primary_taxonomy":"363AM0700X","primary_taxonomy_description":"Medical Physician Assistant","slug":"medical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":"NM","license":"PA2022-0098"}]},"addresses":[{"purpose":"LOCATION","street_1":"3917 WEST RD STE A","city":"LOS ALAMOS","state":"NM","postal_code":"875442292","country_code":"US","phone":"5056618900","fax":"5056618916"},{"purpose":"MAILING","street_1":"3917 WEST RD STE A","city":"LOS ALAMOS","state":"NM","postal_code":"875442292","country_code":"US","phone":"5056618900"}],"license":{"state":"NM","number":"PA2022-0098"},"identifiers":[{"type_code":"01","label":"Other","value":"PA2022-0098","state":"NM","issuer":"NEW MEXICO MEDICAL BOARD LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20221110002721","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NM","pac_id":"1355718925"}]},"enumeration_date":"2022-06-10","last_updated":"2024-02-19","_meta":{"source":"NPPES","snapshot_date":"2024-02-19","doc_url":"https://findmynpi.com/api"}}