Organization Active NPI

Knapp Family Practice, LLC

  • Family Medicine Physician
  • Livermore Falls, ME
National Provider Identifier
1366690638
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1372 Issued in ME
Legal business name
KNAPP FAMILY PRACTICE, LLC
Practice address
96 Main St
Livermore Falls, ME 04254-1511
Phone
(207) 897-6200
Fax
(207) 897-6300
NPI assigned
Aug 28, 2008
Last updated
Sep 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Dr. Michele M. Knapp, D.O.NPI 1437138542
Title
Owner
Phone
(207) 897-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1372 ME Primary

Addresses

Primary practice location

96 Main St
Livermore Falls, ME 04254-1511

Mailing address

96 Main St
Livermore Falls, ME 04254-1511
Phone (207) 897-6200

Other identifiers 1

IdentifierTypeStateIssuer
433014500MedicaidME

National Provider Directory

National Provider Directory

Locations

96 Main St
Livermore Fls, ME 04254
Phone (207) 645-9770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1366690638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 MAIN ST",
            "city": "LIVERMORE FALLS",
            "state": "ME",
            "postal_code": "042541511",
            "telephone_number": "207-897-6200",
            "fax_number": "207-897-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 MAIN ST",
            "city": "LIVERMORE FALLS",
            "state": "ME",
            "postal_code": "042541511",
            "telephone_number": "207-897-6200",
            "fax_number": "207-897-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNAPP FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-897-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "1372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433014500",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore Falls, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.