Misty Knight, IDC
Individual provider Active NPI Independent Duty Corpsman · Richland, NC
NPI 1215201900 · NPPES record last updated Feb 28, 2012
Key facts
- NPI
- 1215201900
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Corpsman 1710I1002X
- Practice address
- 101 Gobbler Way
Richland, NC 28574 - Phone
- (910) 548-2259
- NPI assigned
- Feb 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Yes |
Addresses
Primary practice location
101 Gobbler Way
Richland, NC 28574
Mailing address
101 Gobbler Way
Richland, NC 28574
Phone (910) 548-2259
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.