Marlena Octavia Knight, ARNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

ARNP9224536 Issued in FL

Practice address

4237 S Pipkin Rd BLDG 1
Lakeland, FL 33811-1442

Phone

(863) 701-2470

Fax

(863) 701-2474

NPI assigned

Apr 30, 2018

Last updated

Apr 30, 2018By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1235627860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4237 S PIPKIN RD BLDG 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338111442",
            "telephone_number": "863-701-2470",
            "fax_number": "863-701-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4237 S PIPKIN RD BLDG 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338111442",
            "telephone_number": "863-701-2470",
            "fax_number": "863-701-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "MARLENA",
        "middle_name": "OCTAVIA",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9224536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KMD Coaching LLC
• Amelia Lazayre Knight, ARNP
• Drake Knight, RMHCI
• Isabella Kathryn Avila Knight, CCC-SLP
• Kya Knight
• McKenzie Reed Knight, DC
• Olivia R Knight, DC
• Samantha Knight, MS, RD, LD/N
• Timothy E Knight, M.D.
• Sera Knowlton

• Gerontology Nurse Practitioner in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.