{"npi":"1831355064","type":"NPI-1","status":"active","name":{"display":"Kim Potter MD","other":[{"code":"1","type":"Formerly known as","value":"DO, KIM THI"}],"first":"KIM","last":"POTTER","credential":"MD"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207P00000X","description":"Emergency Medicine","primary":false,"state":"TN","license":"46257"},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"TN","license":"MD0000046257"}]},"addresses":[{"purpose":"LOCATION","street_1":"1980 NONCONNAH BLVD","city":"MEMPHIS","state":"TN","postal_code":"381322123","country_code":"US","phone":"9012913900"},{"purpose":"MAILING","street_1":"6210 MALLOCH DR","city":"MEMPHIS","state":"TN","postal_code":"381196327","country_code":"US","phone":"9017362387"}],"license":{"state":"TN","number":"MD0000046257"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1518265","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20101005000875","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"TN","pac_id":"3779630314"}]},"enumeration_date":"2008-08-07","last_updated":"2023-09-29","_meta":{"source":"NPPES","snapshot_date":"2023-09-29","doc_url":"https://findmynpi.com/api"}}