Active NPI
Amanda Knopp, CNA
- Home Health Agency
- Williamsport, PA
National Provider Identifier
1245612910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- T1512641004
- Practice address
- 539 Keller Loop
Williamsport, PA 17701-9394 - Phone
- (570) 492-6398
- NPI assigned
- Jun 18, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | T1512641004 | PA | Primary |
Addresses
Primary practice location
539 Keller Loop
Williamsport, PA 17701-9394
Mailing address
539 Keller Loop
Williamsport, PA 17701-9394
Phone (570) 492-6398
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4352743 | Other | PA | ENTITY NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T1512641004 | PA | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434585600000",
"number": "1245612910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 KELLER LOOP",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177019394",
"telephone_number": "570-492-6398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "539 KELLER LOOP",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177019394",
"telephone_number": "570-492-6398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOPP",
"first_name": "AMANDA",
"name_prefix": "Ms.",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-18",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "T1512641004",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ENTITY NUMBER",
"identifier": "4352743",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.