Individual provider Active NPI

Jeanine Yvette Knox, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bedford Heights, OH
National Provider Identifier
1225673700
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0042219 Issued in OH
Practice address
24885 Randolph Rd
Bedford Heights, OH 44146-3946
Phone
(216) 235-3071
NPI assigned
Nov 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0042219 OH Primary

Addresses

Primary practice location

24885 Randolph Rd
Bedford Heights, OH 44146-3946

Mailing address

24885 Randolph Rd
Bedford Heights, OH 44146-3946
Phone (216) 235-3071

Other practice location 1

9701 Brookpark Rd Ste 200
Parma, OH 44129-6824
Phone (520) 612-0466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
430476OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1225673700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24885 RANDOLPH RD",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441463946",
            "telephone_number": "216-235-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24885 RANDOLPH RD",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441463946",
            "telephone_number": "216-235-3071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9701 Brookpark Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441296824",
            "country_code": "US",
            "telephone_number": "520-612-0466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOX",
        "first_name": "JEANINE",
        "middle_name": "YVETTE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0042219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Heights, OH

Sources for this page

Verify at the official NPI Registry.