{"npi":"1093762148","type":"NPI-1","status":"active","name":{"display":"Kenneth Holbert MD","other":[],"first":"KENNETH","last":"HOLBERT","middle":"L","credential":"MD"},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"TN","license":"21847"}]},"addresses":[{"purpose":"LOCATION","street_1":"1559 SPARTA ST","city":"MC MINNVILLE","state":"TN","postal_code":"371101316","country_code":"US","phone":"9318154000"},{"purpose":"MAILING","street_1":"PO BOX 634706","city":"CINCINNATI","state":"OH","postal_code":"452630001","country_code":"US"}],"license":{"state":"TN","number":"21847"},"identifiers":[{"type_code":"01","label":"Other","value":"P00297030","state":"TN","issuer":"MEDICARE RAILROAD"},{"type_code":"01","label":"Other","value":"P00259801","state":"TN","issuer":"MEDICARE RAILROAD"},{"type_code":"05","label":"Medicaid","value":"3073134","state":"TN","issuer":null},{"type_code":"01","label":"Other","value":"3051807","state":"TN","issuer":"BLUE CROSS"},{"type_code":"01","label":"Other","value":"3062431","state":"TN","issuer":"BLUE CROSS"},{"type_code":"01","label":"Other","value":"37513","state":"TN","issuer":"TLC TENNCARE"},{"type_code":"01","label":"Other","value":"532950","state":"TN","issuer":"OMNICARE TENNCARE"},{"type_code":"01","label":"Other","value":"3045786","state":"TN","issuer":"BLUE CROSS"},{"type_code":"01","label":"Other","value":"5001148","state":"TN","issuer":"TLC TENNCARE"},{"type_code":"05","label":"Medicaid","value":"3333055","state":"TN","issuer":null},{"type_code":"05","label":"Medicaid","value":"3073132","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050323000614","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"TN","pac_id":"2466408497"},{"enrlmt_id":"I20240521002061","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"TX","pac_id":"2466408497"}]},"enumeration_date":"2006-05-27","last_updated":"2007-11-06","_meta":{"source":"NPPES","snapshot_date":"2007-11-06","doc_url":"https://findmynpi.com/api"}}