Individual provider Active NPI

Patsy O McKnight, F.N.P.

  • Family Nurse Practitioner
  • Independence, VA
National Provider Identifier
1124003801
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024000073 Issued in VA
Practice address
127E Main St
Independence, VA 24348-3985
Phone
(276) 773-2865
Fax
(276) 773-0843
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024000073 VA Primary

Addresses

Primary practice location

127E Main St
Independence, VA 24348-3985

Mailing address

PO Box 947
Independence, VA 24348-0947
Phone (276) 773-2865

Other identifiers 1

IdentifierTypeStateIssuer
007787570MedicaidVA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024000073VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Twin County Family Care Centers Inc Past Accepting new patients
Hugh Chatham Memorial Hospital, Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1124003801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947",
            "city": "INDEPENDENCE",
            "state": "VA",
            "postal_code": "243480947",
            "telephone_number": "276-773-2865",
            "fax_number": "276-773-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127E MAIN ST",
            "city": "INDEPENDENCE",
            "state": "VA",
            "postal_code": "243483985",
            "telephone_number": "276-773-2865",
            "fax_number": "276-773-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "PATSY",
        "middle_name": "O",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024000073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007787570",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.