Individual provider Active NPI

La'Kita Maria Johnson Knight, FNP-C, MSN, BSN, RN

  • Family Nurse Practitioner
  • Chantilly, VA
National Provider Identifier
1366976557
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
232250 Issued in NC
Practice address
14121 Parke Long CT
Chantilly, VA 20151-1647
Phone
(703) 657-8523
NPI assigned
Apr 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 232250 NC Primary

Addresses

Primary practice location

14121 Parke Long CT
Chantilly, VA 20151-1647

Mailing address

1010 Equipoise Dr
Indian Trail, NC 28079-8493
Phone (704) 779-4326

Other practice location 1

55 Broad St
21st Floor
New York, NY 10004-2501
Phone (347) 689-6815

Other names 1

  • La'Kita Maria Johnson Former name

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
232250NCMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366976557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 EQUIPOISE DR",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280798493",
            "telephone_number": "704-779-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14121 PARKE LONG CT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511647",
            "telephone_number": "703-657-8523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Broad St",
            "address_2": "21st Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100042501",
            "country_code": "US",
            "telephone_number": "347-689-6815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "LA'KITA",
        "middle_name": "MARIA JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, MSN, BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "232250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LA'KITA",
            "last_name": "JOHNSON",
            "middle_name": "MARIA",
            "credential": "BSN, BS, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.