Active NPI
Knox Family Wellness Clinic, P.a.
- Family Nurse Practitioner
- Knox City, TX
National Provider Identifier
1346282902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F1105025
- Legal business name
- KNOX FAMILY WELLNESS CLINIC, P.A.
- Practice address
- 609 S Avenue F
Knox City, TX 79529-2103 - Phone
- (940) 657-4457
- Fax
- (940) 657-4456
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Karen Evon Stiewert, FNP-C
- Title
- President
- Phone
- (940) 657-4457
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F1105025 | TX | Primary |
Addresses
Primary practice location
609 S Avenue F
Knox City, TX 79529-2103
Mailing address
609 S Avenue F
Knox City, TX 79529-2103
Phone (940) 657-4457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1829400-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
609 S Avenue F
Knox City, TX 79529
Phone (940) 657-4455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184889600000",
"number": "1346282902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 S AVENUE F",
"city": "KNOX CITY",
"state": "TX",
"postal_code": "795292103",
"telephone_number": "940-657-4457",
"fax_number": "940-657-4456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 S AVENUE F",
"city": "KNOX CITY",
"state": "TX",
"postal_code": "795292103",
"telephone_number": "940-657-4457",
"fax_number": "940-657-4456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNOX FAMILY WELLNESS CLINIC, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2007-07-20",
"status": "A",
"authorized_official_last_name": "STIEWERT",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "EVON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "940-657-4457",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "F1105025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1829400-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Knox City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.