Organization Active NPI

Kari Knight Dermatology and Wellness PS

  • Dermatology Physician
  • Yakima, WA
National Provider Identifier
1326668773
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
KARI KNIGHT DERMATOLOGY AND WELLNESS PS
Practice address
121 N 50TH Ave
Yakima, WA 98908-2862
Phone
(509) 930-7777
Fax
(509) 420-9843
NPI assigned
Apr 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Karalee Knight, DCNPNPI 1659619864
Title
Nurse Practitioner
Phone
(509) 930-7777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

121 N 50TH Ave
Yakima, WA 98908-2862

Mailing address

121 N 50TH Ave
Yakima, WA 98908-2862

Other practice location 1

3105 Summitview Ave Ste C
Yakima, WA 98902-2391
Phone (509) 930-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200630002455 WA Part B Supplier - Clinic/Group Practice 3971926478 Receives reassigned benefits from 2 practitioners
Practice locations: Yakima, WA

National Provider Directory

National Provider Directory

Locations

3105 Summitview Ave
Ste C
Yakima, WA 98902
Phone (509) 930-7777

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1326668773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N 50TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989082862",
            "fax_number": "509-420-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N 50TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989082862",
            "telephone_number": "509-930-7777",
            "fax_number": "509-420-9843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 Summitview Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989022391",
            "country_code": "US",
            "telephone_number": "509-930-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KARI KNIGHT DERMATOLOGY AND WELLNESS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-25",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "KARALEE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "509-930-7777",
        "authorized_official_credential": "DCNP"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.