Individual provider Active NPI

Bria Kneller, FNP-C

  • Family Nurse Practitioner
  • South Hamilton, MA
National Provider Identifier
1063364719
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2357092 Issued in MA
Practice address
34 Tally Ho Dr
South Hamilton, MA 01982-1918
Phone
(630) 418-2742
NPI assigned
Feb 13, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2357092 MA Primary
Registered Nurse 163W00000X RN2357092 MA

Addresses

Primary practice location

34 Tally Ho Dr
South Hamilton, MA 01982-1918

Mailing address

34 Tally Ho Dr
South Hamilton, MA 01982-1918
Phone (630) 418-2742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260408000576 MA Order and Referring Only - Nurse Practitioner 0547735581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2357092MAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1063364719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 TALLY HO DR",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019821918",
            "telephone_number": "630-418-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 TALLY HO DR",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019821918",
            "telephone_number": "630-418-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNELLER",
        "first_name": "BRIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2357092",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2357092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hamilton, MA

Sources for this page

Verify at the official NPI Registry.