Individual provider Active NPI

Stephanie M Knobel

  • Nutritionist
  • Newark, NY
National Provider Identifier
1326172818
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
005003 Issued in NY
Practice address
703 E Maple Ave
Newark, NY 14513-1845
Phone
(315) 331-1700
NPI assigned
Mar 15, 2007
Last updated
Oct 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 005003 NY Primary

Addresses

Primary practice location

703 E Maple Ave
Newark, NY 14513-1845

Mailing address

9 Kathlyn Ave
Phelps, NY 14532-9712
Phone (315) 331-1700

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1326172818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 KATHLYN AVE",
            "city": "PHELPS",
            "state": "NY",
            "postal_code": "145329712",
            "telephone_number": "315-331-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E MAPLE AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131845",
            "telephone_number": "315-331-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOBEL",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "005003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.