Active NPI
Michelle Marie Knapp, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 401622
- Practice address
- 611 Missouri Rd
Venice, FL 34293-6447 - Phone
- (216) 536-6212
- NPI assigned
- Jul 8, 2013
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 401622 | NY | Primary |
Addresses
Primary practice location
611 Missouri Rd
Venice, FL 34293-6447
Mailing address
1307 Guardian Dr
Venice, FL 34292-1626
Phone (216) 536-6212
Other practice location 1
1307 Guardian Dr
Venice, FL 34292-1626
Phone (216) 536-6212
Other practice location 2
2929 W 31st St Apt 10L4
Brooklyn, NY 11224-1721
Phone (216) 536-6212
Other practice location 3
1531 Tamiami Trl S
Venice, FL 34285-5570
Phone (216) 536-6212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04131288 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michelle@wholisticpsychiatry.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 401622 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wholistic Psychiatry PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
1531 Tamiami Trl S
Ste 703
Venice, FL 34285
Phone (941) 451-1122
1531 Tamiami Trl S
Venice, FL 34285
Phone (216) 536-6212
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
- NPI 1417681982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1104267061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 GUARDIAN DR",
"city": "VENICE",
"state": "FL",
"postal_code": "342921626",
"telephone_number": "216-536-6212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 MISSOURI RD",
"city": "VENICE",
"state": "FL",
"postal_code": "342936447",
"telephone_number": "216-536-6212"
}
],
"practiceLocations": [
{
"address_1": "1307 Guardian Dr",
"address_purpose": "LOCATION",
"city": "Venice",
"state": "FL",
"postal_code": "342921626",
"country_code": "US",
"telephone_number": "216-536-6212",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2929 W 31st St Apt 10L4",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112241721",
"country_code": "US",
"telephone_number": "216-536-6212",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1531 Tamiami Trl S",
"address_purpose": "LOCATION",
"city": "Venice",
"state": "FL",
"postal_code": "342855570",
"country_code": "US",
"telephone_number": "216-536-6212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNAPP",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-08",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "401622",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04131288",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michelle@wholisticpsychiatry.com",
"affiliation": "N",
"endpointDescription": "safe and secure email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "safe and secure email",
"address_1": "611 Missouri Rd",
"city": "Venice",
"state": "FL",
"country_code": "US",
"postal_code": "342936447",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.