Elizabeth Maxwell Knippen, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1691 Issued in SC

Practice address

2410 Hoffmeyer Rd
Florence, SC 29501-7311

Phone

(843) 662-8182

NPI assigned

Oct 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1235413360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 N RON MCNAIR BLVD",
            "address_2": "PO BOX 1479",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602462",
            "telephone_number": "843-374-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 HOFFMEYER RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295017311",
            "telephone_number": "843-662-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIPPEN",
        "first_name": "ELIZABETH",
        "middle_name": "MAXWELL",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "TL1691",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "TL1691",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Klucharich Chiropractic Healing
• Donna Marie Klucharich, DC
• Aimee Leigh Knight, MS, LPC
• Angel Van Essen Knight, ATC
• Dorian S Knight, LPN RVT
• Joann Knox
• Cyrus Isaac Kocherla, MD
• Hosea Kibet Koech
• John Kokenes, CRNA
• Cynthia Kolb, MD

• Physician Assistant in Florence, SC
• Providers in Florence, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.