Holly Knott

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

30232 Issued in TN

Practice address

2151 Wilma Rudolph Blvd
Clarksville, TN 37040-7356

Phone

(931) 245-0500

NPI assigned

May 16, 2022

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Covenant Family Practice, PC

  • Family Medicine Physician
  • Clarksville, TN
  • NPI 1225073166
  NPD (past)

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1235876889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 MAXWELL DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 WILMA RUDOLPH BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370407356",
            "telephone_number": "931-245-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOTT",
        "first_name": "HOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "30232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE NOT ACCEPTED AT FACILITY - MEDICAL AESTHETICS",
            "identifier": "30232",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://rxphoto.com",
            "affiliation": "N",
            "address_1": "2151 Wilma Rudolph Blvd",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370407356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bethany Clare Klopfer, APRN
• Keyly McMahon Knechtel, APRN
• Nicole Knickmeyer, PH.D.
• Danielle Elyce Knight
• Valerie Knight, MSN, CPNP
• Knowbull Chiropractic
• Seth Allan Knox, PA-C
• Cory C Koester
• Wanda Kolacy
• Nyakeh Konneh, PHARMD

• Primary Care Nurse Practitioner in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Primary Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.