Bobby Joe Knodel, MS ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

286-04 Issued in ND

Practice address

N University Dr at 17TH Ave N
Bison Sports Arena
Fargo, ND 58105

Phone

(701) 231-6492

Fax

(701) 231-5189

NPI assigned

Mar 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033233440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 52ND ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044251",
            "telephone_number": "701-367-2785",
            "fax_number": "701-231-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N UNIVERSITY DR AT 17TH AVE N",
            "address_2": "BISON SPORTS ARENA",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58105",
            "telephone_number": "701-231-6492",
            "fax_number": "701-231-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNODEL",
        "first_name": "BOBBY",
        "middle_name": "JOE",
        "credential": "MS ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ND",
            "license": "286-04",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Knapper, M.ED, LPCC, NCC
• Melissa Ann Knecht, FNP-C
• Maggie F Kneip, BS
• Jodee L Knipfer, CPD/CADC/LISAC/LAC
• Teri Renae Knochenmus
• Kelsey Lian Knodel, MS, CCC-SLP
• Marie Louise Knodel
• Melissa Ann Knopik, PNP
• Nancy Knowlton, MS, CCC-SLP
• Gabrielle Knowski, MOT, OTR/L

• Athletic Trainer in Fargo, ND
• Providers in Fargo, ND by specialty
• Athletic Trainer in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.