Individual provider Active NPI

Patricia Ruth Knaudt, M.D.

  • Psychiatry Physician
  • Cary, NC
National Provider Identifier
1124142211
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
9700619 Issued in NC
Practice address
547 Keisler Dr
Cary, NC 27518-9309
Phone
(919) 851-3939
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 9700619 NC Primary

Addresses

Primary practice location

547 Keisler Dr
Cary, NC 27518-9309

Mailing address

547 Keisler Dr
Cary, NC 27518-9309
Phone (919) 851-3939

Other practice location 1

4024 Stirrup Creek Dr
Durham, NC 27703-9464
Phone (919) 851-3939

Other identifiers 1

IdentifierTypeStateIssuer
131YJOtherNCBCBS IDENTIFIER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 19, 2016 through May 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9700619NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Services and Consultation, PC Psychiatry Current Accepting new patients
County of Durham Finance Dept Past Accepting new patients

Locations

547 Keisler Dr
Ste 104
Cary, NC 27518
Phone (919) 434-6147

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124142211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 KEISLER DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189309",
            "telephone_number": "919-851-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 KEISLER DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189309",
            "telephone_number": "919-851-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4024 Stirrup Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277039464",
            "country_code": "US",
            "telephone_number": "919-851-3939",
            "fax_number": "919-309-9629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNAUDT",
        "first_name": "PATRICIA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "9700619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IDENTIFIER",
            "identifier": "131YJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.