{"npi":"1407964844","type":"NPI-1","status":"active","name":{"display":"Kenneth Parker Acnp","other":[],"first":"KENNETH","last":"PARKER","middle":"S","credential":"ACNP"},"specialty":{"primary_taxonomy":"363LA2100X","primary_taxonomy_description":"Acute Care Nurse Practitioner","slug":"acute-care-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":"MS","license":"R851488"},{"code":"363LA2100X","description":"Acute Care Nurse Practitioner","primary":true,"state":"MS","license":"851488"}]},"addresses":[{"purpose":"LOCATION","street_1":"404 S 13TH AVE","city":"LAUREL","state":"MS","postal_code":"394404345","country_code":"US","phone":"6014255544","fax":"6014255525"},{"purpose":"MAILING","street_1":"415 S 28TH AVE","city":"HATTIESBURG","state":"MS","postal_code":"394017246","country_code":"US","phone":"6014255544","fax":"6015795240"}],"license":{"state":"MS","number":"851488"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"02684504","state":"MS","issuer":null},{"type_code":"01","label":"Other","value":"3494930","state":"MS","issuer":"AMERICAN ADMIN GROUP"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20051227000317","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"MS","pac_id":"9931121480"}]},"enumeration_date":"2006-08-27","last_updated":"2020-06-18","_meta":{"source":"NPPES","snapshot_date":"2020-06-18","doc_url":"https://findmynpi.com/api"}}