{
"Npi": {
"NPI": "1730152307",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "X",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HAWKINS",
"FirstName": "CAMILLE",
"MiddleName": "PATRICE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PA-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SKERRITT",
"OtherFirstName": "CAMILLE",
"OtherMiddleName": "PATRICE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "PA-C",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 400",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ODENTON",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21113-0400",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "410-507-9775",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "COMANDANT (CG-1122) USCG",
"SecondLinePracticeLocationAddress": "2100 2ND STREET SW, SUITE 5314",
"PracticeLocationAddressCityName": "WASHINGTON",
"PracticeLocationAddressStateName": "DC",
"PracticeLocationAddressPostalCode": "20593-0001",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "202-267-6070",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/13/2006",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363A00000X",
"TaxonomyName": "Physician Assistant",
"LicenseNumber": "MA002326L",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}