Roberta Elizabeth Knudsen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1207 Issued in NE

Practice address

3675 N 129TH St
Omaha, NE 68164-5211

Phone

(402) 493-6800

Fax

(402) 614-1635

NPI assigned

Aug 8, 2006

Last updated

Mar 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NE

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Robbi Long Knudsen, DC, LLC

  • Chiropractor
  • Omaha, NE
  • NPI 1295916484
  Medicare reassignment NPD

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1083624720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 N 129TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681645211",
            "telephone_number": "402-493-6800",
            "fax_number": "402-614-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 N 129TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681645211",
            "telephone_number": "402-493-6800",
            "fax_number": "402-614-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUDSEN",
        "first_name": "ROBERTA",
        "middle_name": "ELIZABETH",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025328800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teadrana Knox
• Tretavious Knox
• Edmund Knudsen
• Jasmine Knudsen
• Kayleigh Knudsen
• Jessica Knupp
• Madelyn Knupp, DPT
• Morgan G Knust, LMNT
• Amber Knuth, O.D.
• Whitney Knuth

• Chiropractor in Omaha, NE
• Providers in Omaha, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.