{"npi":"1386248763","type":"NPI-1","status":"active","name":{"display":"Haley Camacho PA-C","other":[{"code":"1","type":"Formerly known as","value":"DURRANT, HALEY"}],"first":"HALEY","last":"CAMACHO","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":"MI","license":"5601010101"}]},"addresses":[{"purpose":"LOCATION","street_1":"5701 BOW POINTE DR STE 100","city":"CLARKSTON","state":"MI","postal_code":"483463199","country_code":"US","phone":"2486252621","fax":"2486252622"},{"purpose":"MAILING","street_1":"5701 BOW POINTE DR STE 100","city":"CLARKSTON","state":"MI","postal_code":"483463199","country_code":"US","phone":"2486252621","fax":"2486252622"}],"license":{"state":"MI","number":"5601010101"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20241218000664","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MI","pac_id":"5890222608"}]},"enumeration_date":"2020-11-25","last_updated":"2024-12-06","_meta":{"source":"NPPES","snapshot_date":"2024-12-06","doc_url":"https://findmynpi.com/api"}}