Individual provider Active NPI

Jennifer Sue Knol, D.C.

  • Chiropractor
  • Holland, MI
National Provider Identifier
1013131523
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005340 Issued in MI
Practice address
2450 Van Ommen Dr
Suite C
Holland, MI 49424-8085
Phone
(616) 355-7870
Fax
(616) 355-7872
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301005340 MI Primary

Addresses

Primary practice location

2450 Van Ommen Dr
Suite C
Holland, MI 49424-8085

Mailing address

2450 Van Ommen Dr
Suite C
Holland, MI 49424-8085
Phone (616) 355-7870

Other identifiers 1

IdentifierTypeStateIssuer
2797070MedicaidMI

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2301005340MIMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1013131523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 VAN OMMEN DR",
            "address_2": "SUITE C",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248085",
            "telephone_number": "616-355-7870",
            "fax_number": "616-355-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 VAN OMMEN DR",
            "address_2": "SUITE C",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248085",
            "telephone_number": "616-355-7870",
            "fax_number": "616-355-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOL",
        "first_name": "JENNIFER",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2797070",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.

Verify at the official NPI Registry.