Beverley Sue Knight-Stukenborg

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1903327 Issued in OH

Practice address

4881 Sugar Maple Dr BLDG 830
Wright Patterson Afb, OH 45433-5529

Phone

(937) 257-5146

Fax

(937) 656-0643

NPI assigned

Mar 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1225595879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR BLDG 830",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-257-5146",
            "fax_number": "937-656-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR BLDG 830",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-257-5146",
            "fax_number": "937-656-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT-STUKENBORG",
        "first_name": "BEVERLEY",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1903327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikole Marie Kerns
• Richard Kirkman
• Aria Klein, CRNA
• Joseph Kluesner, M.D.
• Kara Jean Knickerbocker, D.O.
• Nancy J Koets, PSYD
• Matthew Thomas Koroscil, M.D.
• Alex Daniel Krehbiel
• Andrea Elaine Krunnfusz, PHD
• Joseph Maurice Kuebker, M.D.

• Social Worker in Wright Patterson Afb, OH
• Providers in Wright Patterson Afb, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.