Courtney Knipp

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

27106 Issued in TX

Practice address

6115 Camp Bowie Blvd Ste 290
Fort Worth, TX 76116-5500

Phone

(817) 831-1105

NPI assigned

Feb 21, 2019

Last updated

Feb 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First Choice Children's Homecare, LP

  dba Aveanna Healthcare

  • Home Health Agency
  • Dallas, TX
  • NPI 1164053278
  NPD (past)

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1023575537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 CAMP BOWIE BLVD STE 290",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 CAMP BOWIE BLVD STE 290",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165500",
            "telephone_number": "817-831-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIPP",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "27106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LVN",
            "identifier": "27106",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Brooke Knight
• Timothy Scott Knight, D.D.S.
• Knights of Comfort Hospice L.L.C. (Knights of Comfort, Knights of Comfort Hospice, Caballeros de Consuelo)
• Julia Knipfer, RD, LD
• Brandy Knipp, CRNA
• Rebecca Knockemus, RDLD
• Elizabeth J Knott, CRNA
• Erol Martin Knott Jr., D.O., PH.D.
• Kasey Knott
• Charles Alexander Knowles, O.D.

• Licensed Vocational Nurse in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.