Active NPI
Jordan T Knapp
- Behavior Technician
- Sacramento, CA
National Provider Identifier
1013490895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 9115 Fruitridge Rd
Sacramento, CA 95826-9727 - Phone
- (916) 458-2891
- NPI assigned
- Sep 8, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
9115 Fruitridge Rd
Sacramento, CA 95826-9727
Mailing address
1050 Fulton Ave
Sacramento, CA 95825-4272
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536364800000",
"number": "1013490895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 FULTON AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958254272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9115 FRUITRIDGE RD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958269727",
"telephone_number": "916-458-2891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNAPP",
"first_name": "JORDAN",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-08",
"last_updated": "2018-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.