Active NPI
Debora Knox, RN
- Registered Nurse
- High Point, NC
National Provider Identifier
1114295672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 82869
- Practice address
- 501 E Green Dr
High Point, NC 27260-6707 - Phone
- (336) 641-5541
- Fax
- (336) 641-7987
- NPI assigned
- Dec 12, 2011
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 82869 | NC | Primary |
Addresses
Primary practice location
501 E Green Dr
High Point, NC 27260-6707
Mailing address
501 E Green Dr
High Point, NC 27260-6707
Phone (336) 641-5541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82869 | Medicaid | NC |
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 |
|---|---|---|---|
| 82869 | NC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1114295672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E GREEN DR",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272606707",
"telephone_number": "336-641-5541",
"fax_number": "336-641-7987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E GREEN DR",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272606707",
"telephone_number": "336-641-5541",
"fax_number": "336-641-7987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOX",
"first_name": "DEBORA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-12",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "82869",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82869",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.