{"npi":"1285731455","type":"NPI-1","status":"active","name":{"display":"Michael Berthiaume PA","other":[],"first":"MICHAEL","last":"BERTHIAUME","credential":"PA"},"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":"LA","license":"A10615"}]},"addresses":[{"purpose":"LOCATION","street_1":"1990 INDUSTRIAL BOULEVARD","city":"HOUMA","state":"LA","postal_code":"703637055","country_code":"US","phone":"9858689300","fax":"9858510053"},{"purpose":"MAILING","street_1":"1990 INDUSTRIAL BOULEVARD","city":"HOUMA","state":"LA","postal_code":"703637055","country_code":"US","phone":"9858689300","fax":"9858510053"}],"license":{"state":"LA","number":"A10615"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1626791","state":"LA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040916000205","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"LA","pac_id":"5890762066"}]},"enumeration_date":"2006-09-20","last_updated":"2009-06-17","_meta":{"source":"NPPES","snapshot_date":"2009-06-17","doc_url":"https://findmynpi.com/api"}}