Active NPI
Kristy Annlyn Knupke, RN
- Case Management Registered Nurse
- Waltham, MA
National Provider Identifier
1093545212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- RN27-1928
- Practice address
- 221 Crescent St
Waltham, MA 02453-3475 - Phone
- (800) 338-6833
- NPI assigned
- Aug 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN27-1928 | OH | Primary |
Addresses
Primary practice location
221 Crescent St
Waltham, MA 02453-3475
Mailing address
15942 Albion Rd
Strongsville, OH 44136-3655
Phone (216) 262-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN27-1928 | OH | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1093545212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15942 ALBION RD",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441363655",
"telephone_number": "216-262-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 CRESCENT ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024533475",
"telephone_number": "800-338-6833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUPKE",
"first_name": "KRISTY",
"middle_name": "ANNLYN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-02",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "OH",
"license": "RN27-1928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.