{"npi":"1831109552","type":"NPI-1","status":"active","name":{"display":"Dr. Kenneth Booth M.D.","other":[],"first":"KENNETH","last":"BOOTH","middle":"EDWIN","credential":"M.D."},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"LA","license":"MD.015537"}]},"addresses":[{"purpose":"LOCATION","street_1":"510 E STONER AVE","city":"SHREVEPORT","state":"LA","postal_code":"711014243","country_code":"US","phone":"3182218411"},{"purpose":"MAILING","street_1":"10006 WINDING RIDGE DR","city":"SHREVEPORT","state":"LA","postal_code":"711067684","country_code":"US","phone":"3187981254"}],"license":{"state":"LA","number":"MD.015537"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1332968","state":"LA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130709000476","type_code":"33-11","type_desc":"ORDER AND REFERRING ONLY - INTERNAL MEDICINE","state":"LA","pac_id":"0446490783"}]},"enumeration_date":"2006-08-08","last_updated":"2007-07-08","_meta":{"source":"NPPES","snapshot_date":"2007-07-08","doc_url":"https://findmynpi.com/api"}}