Individual provider Active NPI

Amy Marie Knorr, MD

  • Neurology Physician
  • Norwalk, CT
National Provider Identifier
1255432043
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
037849 Issued in CT
Practice address
637 West Ave
Suite 200
Norwalk, CT 06850-4004
Phone
(203) 853-5000
Fax
(203) 853-5001
NPI assigned
Sep 26, 2006
Last updated
Sep 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 037849 CT Primary

Addresses

Primary practice location

637 West Ave
Suite 200
Norwalk, CT 06850-4004

Mailing address

637 West Ave
Suite 200
Norwalk, CT 06850-4004
Phone (203) 853-5000

Other identifiers 1

IdentifierTypeStateIssuer
001378498MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101220000006 CT Practitioner - Neurology 7113926411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1255432043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 WEST AVE",
            "address_2": "SUITE 200",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068504004",
            "telephone_number": "203-853-5000",
            "fax_number": "203-853-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 WEST AVE",
            "address_2": "SUITE 200",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068504004",
            "telephone_number": "203-853-5000",
            "fax_number": "203-853-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNORR",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "037849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001378498",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.