Active NPI
Maxine Margaret Kniffi, RN, MSN
- Registered Nurse
- Penn Yan, NY
National Provider Identifier
1003113911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 415955
- Practice address
- 3773 Route 364
Penn Yan, NY 14527-9359 - Phone
- (607) 595-2857
- NPI assigned
- Feb 12, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 415955 | NY | Primary |
| Cardiac Rehabilitation Registered Nurse | 163WC3500X | 415955 | NY | |
| Home Health Registered Nurse | 163WH0200X | 415955 | NY | |
| Hospice Registered Nurse | 163WH1000X | 415955 | NY | |
| Medical-Surgical Registered Nurse | 163WM0705X | 415955 | NY |
Addresses
Primary practice location
3773 Route 364
Penn Yan, NY 14527-9359
Mailing address
3773 Route 364
Penn Yan, NY 14527-9359
Phone (607) 595-2857
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MMK6446 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 415955 | NY | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297468800000",
"number": "1003113911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3773 ROUTE 364",
"city": "PENN YAN",
"state": "NY",
"postal_code": "145279359",
"telephone_number": "607-595-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3773 ROUTE 364",
"city": "PENN YAN",
"state": "NY",
"postal_code": "145279359",
"telephone_number": "607-595-2857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIFFI",
"first_name": "MAXINE",
"middle_name": "MARGARET",
"credential": "RN, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-12",
"last_updated": "2011-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "415955",
"primary": true
},
{
"code": "163WC3500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Cardiac Rehabilitation",
"state": "NY",
"license": "415955",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NY",
"license": "415955",
"primary": false
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "NY",
"license": "415955",
"primary": false
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "NY",
"license": "415955",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MMK6446",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Penn Yan, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.