Sarah Knake, RN-CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

041315180 Issued in IL

Practice address

615 N Promenade St
Havana, IL 62644-1243

Phone

(309) 543-4431

Fax

(309) 543-2089

NPI assigned

Jan 4, 2017

Last updated

Jan 4, 2017By 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": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1235674946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12928 SR 78",
            "city": "HAVANA",
            "state": "IL",
            "postal_code": "626446861",
            "telephone_number": "309-338-1897",
            "fax_number": "309-543-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N PROMENADE ST",
            "city": "HAVANA",
            "state": "IL",
            "postal_code": "626441243",
            "telephone_number": "309-543-4431",
            "fax_number": "309-543-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAKE",
        "first_name": "SARAH",
        "credential": "RN-CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "IL",
            "license": "041315180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mason County (Mason County Health Department)
• Mason County Health Department

• Diabetes Educator Registered Nurse in Havana, IL
• Providers in Havana, IL by specialty
• Diabetes Educator Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.