Individual provider Active NPI

Anne Minor Knott, M.D.

  • Family Medicine Physician
  • Winooski, VT
National Provider Identifier
1164596730
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0420009597 Issued in VT
Practice address
32B Malletts Bay Avenue
Winooski Family Health
Winooski, VT 05404
Phone
(802) 655-4422
Fax
(802) 861-2678
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0420009597 VT Primary

Addresses

Primary practice location

32B Malletts Bay Avenue
Winooski Family Health
Winooski, VT 05404

Mailing address

32B Malletts Bay Avenue
Winooski, VT 05404
Phone (802) 655-4422

Other identifiers 1

IdentifierTypeStateIssuer
OVN1683MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070827000572 VT Practitioner - Family Practice 0446342067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0420009597VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Health Center Family Medicine Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1164596730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32B MALLETTS BAY AVENUE",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "05404",
            "telephone_number": "802-655-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32B MALLETTS BAY AVENUE",
            "address_2": "WINOOSKI FAMILY HEALTH",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "05404",
            "telephone_number": "802-655-4422",
            "fax_number": "802-861-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOTT",
        "first_name": "ANNE",
        "middle_name": "MINOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "0420009597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN1683",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winooski, VT

Sources for this page

Verify at the official NPI Registry.