Bethany Knauth

Key facts

NPI

1023970506

Entity type

Individual (NPI type 1)

Primary specialty

Doula 374J00000X

Practice address

5018 NW Merrimac Ave
Riverside, MO 64150-3350

Phone

(316) 708-7106

NPI assigned

Dec 2, 2025

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 2, 2025.

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1023970506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5018 NW MERRIMAC AVE",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641503350",
            "telephone_number": "316-708-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5018 NW MERRIMAC AVE",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641503350",
            "telephone_number": "316-708-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAUTH",
        "first_name": "BETHANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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