Amanda Lynn Knutt, MSDH, RDH, CST

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

12295 Issued in KS

Practice address

4010 1St Division Rd
Fort Riley, KS 66442

Phone

(785) 239-4174

NPI assigned

Jun 23, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1083390231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15450 JEFFREY CIR",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665477042",
            "telephone_number": "803-465-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 1ST DIVISION RD",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "66442",
            "telephone_number": "785-239-4174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 Westloop Pl",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665022841",
            "country_code": "US",
            "telephone_number": "785-537-5949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 Huebner Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Riley",
            "state": "KS",
            "postal_code": "66442",
            "country_code": "US",
            "telephone_number": "785-240-7411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNUTT",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSDH, RDH, CST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "KS",
            "license": "12295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria A Kimble, LMSW
• Brittani Marie King, LSCSW
• Gary Klozenbucher, LSCSW
• Anna Christine Knapp, COTA
• Blaine Leroy Knox, DDS
• Tatum Breanne Komlodi, MAT, LAT, ATC
• Nickolas Kondiles, MD
• George Kontogiannis, MD
• Jessica Elaine Kramer, CNM
• Pearl F Kreklau-Caponera, FNP

• All providers in Fort Riley, KS
• Dental Hygienist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.