Active NPI
Brucealynea Joy Knowlton, FNP
- Family Nurse Practitioner
- Greenville, TX
National Provider Identifier
1366776411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 707126
- Practice address
- 4101 Wesley St Ste C
Greenville, TX 75401-5635 - Phone
- (903) 454-8111
- NPI assigned
- Sep 22, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 707126 | TX | Primary |
Addresses
Primary practice location
4101 Wesley St Ste C
Greenville, TX 75401-5635
Mailing address
4101 Wesley St Ste C
Greenville, TX 75401-5635
Phone (903) 454-8111
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 211527103 | Medicaid | TX | |
| 211527101 | Medicaid | TX | |
| 211527102 | Medicaid | TX |
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
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suzanne E Monday MD | Family | Past | Accepting new patients |
| Physicians and Allied Health Professionals Group, PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
-
- Family Medicine Physician
- Commerce, TX
- NPI 1659411742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284508800000",
"number": "1366776411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 WESLEY ST STE C",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754015635",
"telephone_number": "903-454-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 WESLEY ST STE C",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754015635",
"telephone_number": "903-454-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOWLTON",
"first_name": "BRUCEALYNEA",
"middle_name": "JOY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-22",
"last_updated": "2010-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "707126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "211527103",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "211527101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "211527102",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.