Knowlton Family Practice

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

NP08402 Issued in OH

Legal business name

KNOWLTON FAMILY PRACTICE

Practice address

1001 Pike St
7A
Marietta, OH 45750-3515

Phone

(740) 629-8528

NPI assigned

Jun 19, 2015

Last updated

Jun 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lesly Knowlton, NP

Title

Nurse Practitioner

Phone

(740) 629-8528

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1225410830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PIKE ST",
            "address_2": "7A",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503515",
            "telephone_number": "740-629-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PIKE ST",
            "address_2": "7A",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503515",
            "telephone_number": "740-629-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOWLTON FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "KNOWLTON",
        "authorized_official_first_name": "LESLY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "740-629-8528",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "NP08402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2645310",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810011090",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Klein, QMHS
• Kristeva Jo Knab, PA-C
• Pamela S Knapp-Shinn
• Robyn M Knaus, APRN, BC
• Sierra R Knotts, LCDC II
• Rachel Ann Konkler, OTR/L
• David J. Kosko, ICADC
• Debra Ellen Kosko, LISW
• Andrea Kostelac, NP
• Gregory Krivchenia, MD

• Primary Care Clinic/Center in Marietta, OH
• Providers in Marietta, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.