Active NPI
Nicole Verlean Knotts, M.D.
- Family Medicine Physician
- Stockton, CA
National Provider Identifier
1194096743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A124373
- Practice address
- 3132 W March LN
Suite 5
Stockton, CA 95219-2354 - Phone
- (209) 475-5500
- Fax
- (209) 475-5515
- NPI assigned
- Jan 13, 2012
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A124373 | CA | Primary |
Addresses
Primary practice location
3132 W March LN
Suite 5
Stockton, CA 95219-2354
Mailing address
3132 W March LN
Suite 5
Stockton, CA 95219-2354
Phone (209) 475-5500
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124373 | CA | MD | Clinical Social Worker |
| A124373 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379462400000",
"number": "1194096743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3132 W MARCH LN",
"address_2": "SUITE 5",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952192354",
"telephone_number": "209-475-5500",
"fax_number": "209-475-5515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3132 W MARCH LN",
"address_2": "SUITE 5",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952192354",
"telephone_number": "209-475-5500",
"fax_number": "209-475-5515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOTTS",
"first_name": "NICOLE",
"middle_name": "VERLEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-13",
"last_updated": "2013-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A124373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.