{"npi":"1750607669","type":"NPI-1","status":"active","name":{"display":"Dr. Kathleen Tibbetts M.D.","other":[],"first":"KATHLEEN","last":"TIBBETTS","middle":"MARGARET","credential":"M.D."},"specialty":{"primary_taxonomy":"207Y00000X","primary_taxonomy_description":"Otolaryngology Physician","slug":"otolaryngology-physician","schema_org_specialty":null,"all":[{"code":"207Y00000X","description":"Otolaryngology Physician","primary":true,"state":"PA","license":"MD480053"}]},"addresses":[{"purpose":"LOCATION","street_1":"925 CHESTNUT ST FL 6","city":"PHILADELPHIA","state":"PA","postal_code":"191074204","country_code":"US","phone":"2159556056","fax":"2159234532"},{"purpose":"MAILING","street_1":"925 CHESTNUT ST FL 6","city":"PHILADELPHIA","state":"PA","postal_code":"191074204","country_code":"US","phone":"2159556056","fax":"2159234532"}],"license":{"state":"PA","number":"MD480053"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"346982701","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150706002033","type_code":"14-04","type_desc":"PRACTITIONER - OTOLARYNGOLOGY","state":"TX","pac_id":"7113239153"},{"enrlmt_id":"I20230301001813","type_code":"14-04","type_desc":"PRACTITIONER - OTOLARYNGOLOGY","state":"PA","pac_id":"7113239153"}]},"enumeration_date":"2010-04-16","last_updated":"2023-03-22","_meta":{"source":"NPPES","snapshot_date":"2023-03-22","doc_url":"https://findmynpi.com/api"}}