Active NPI
James Daryl Knecht, M.D.
- Family Medicine Physician
- Natchitoches, LA
National Provider Identifier
1023013752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 015058
- Practice address
- 1029 Keyser Avenue
Ste F
Natchitoches, LA 71457-6239 - Phone
- (318) 238-6001
- Fax
- (318) 238-6002
- NPI assigned
- Jun 17, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 015058 | LA | Primary |
Addresses
Primary practice location
1029 Keyser Avenue
Ste F
Natchitoches, LA 71457-6239
Mailing address
1029 Keyser Avenue
Ste F
Natchitoches, LA 71457-6239
Phone (318) 238-6001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2101803 | Medicaid | LA | |
| 1319538 | Medicaid | LA |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015058 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan a Picou Et Al PTR | Family Medicine | Past | Accepting new patients |
| C H Wilkinson Physician Network | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Natchitoches, LA
- NPI 1962574111
-
- Family Medicine Physician
- Irving, TX
- NPI 1457382947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303776000000",
"number": "1023013752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 KEYSER AVENUE",
"address_2": "STE F",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714576239",
"telephone_number": "318-238-6001",
"fax_number": "318-238-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 KEYSER AVENUE",
"address_2": "STE F",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714576239",
"telephone_number": "318-238-6001",
"fax_number": "318-238-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNECHT",
"first_name": "JAMES",
"middle_name": "DARYL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2011-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "015058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2101803",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1319538",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Natchitoches, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.