Individual provider Active NPI

Kristina Knechtl

  • Nurse Practitioner
  • Clawson, MI
National Provider Identifier
1205428000
Registry record updated Sep 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704343032 Issued in MI
Practice address
555 W 14 Mile Rd
Clawson, MI 48017-3100
Phone
(248) 655-1400
NPI assigned
Feb 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704343032 MI Primary

Addresses

Primary practice location

555 W 14 Mile Rd
Clawson, MI 48017-3100

Mailing address

555 W 14 Mile Rd
Clawson, MI 48017-3100
Phone (248) 655-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211116002787 MI Practitioner - Nurse Practitioner 2769871524 Reassigns benefits to 12 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704343032MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commerce Urgent Care Walk-in Clinic CurrentSince Nov 11, 2021 Accepting new patients
Canton Urgent Care Walk-in Clinic PC CurrentSince Nov 11, 2021 Accepting new patients
Chesterfield Urgent Care Walk-in Clinic CurrentSince Nov 11, 2021 Accepting new patients
Shelby Urgent Care Walk-in Clinic CurrentSince Nov 11, 2021 Accepting new patients
Rochester Urgent Care Walk-in Clinic CurrentSince Nov 11, 2021 Accepting new patients
Taylor Urgent Care PC CurrentSince Nov 11, 2021 Accepting new patients
Clinton Urgent Care Walk-in Clinic CurrentSince Nov 11, 2021 Accepting new patients
Sterling Heights Urgent Care Walk-in Clinic CurrentSince Nov 11, 2021 Accepting new patients
Troy Urgent Care Walk-in Clinic CurrentSince Nov 11, 2021 Accepting new patients
Doctors Urgent Care Southfield CurrentSince Nov 11, 2021 Accepting new patients
North Woodward Internal Medicine Associates, P.C. PastSince Sep 15, 2024 Accepting new patients
Farmington Hills Urgent Care Walk-in Clinic PC PastSince Jul 31, 2022 Accepting new patients

Locations

43033 Ford Rd
Canton, MI 48187
Phone (734) 927-5050

51160 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 221-1805

37150 S Gratiot Ave
Clinton Twp, MI 48036
Phone (586) 267-1334

2900 Union Lake Rd
Ste 110
Commerce Twp, MI 48382
Phone (248) 242-6049

25950 Middlebelt Rd
Farmington Hills, MI 48336
Phone (248) 803-0672

14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100

2915 Walton Blvd
Rochester Hills, MI 48309
Phone (248) 375-0022

46961 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 991-5205

43722 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 262-4277

23234 Ecorse Rd
Taylor, MI 48180
Phone (313) 292-8400

4060 Rochester Rd
Troy, MI 48085
Phone (248) 250-6420

Interoperability endpoints

  • Direct secure messaging: kristina.knechtl.1@28573.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725753600000",
    "number": "1205428000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W 14 MILE RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480173100",
            "telephone_number": "248-655-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W 14 MILE RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480173100",
            "telephone_number": "248-655-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNECHTL",
        "first_name": "KRISTINA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704343032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clawson, MI

Sources for this page

Verify at the official NPI Registry.