Active NPI
Patricia Ruth Knaudt, M.D.
- Psychiatry Physician
- Cary, NC
National Provider Identifier
1124142211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 9700619
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131YJ | Other | NC | BCBS 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9700619 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Psychiatry Physician
- Cary, NC
- NPI 1114447877
-
- Land Ambulance
- Durham, NC
- NPI 1437159613
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.