Active NPI
Kathleen Knee
- Clinical Neuropsychologist
- Plantation, FL
National Provider Identifier
1376521971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PY4492
- Practice address
- 300 S Pine Island Rd
#263
Plantation, FL 33324-2673 - Phone
- (954) 489-0788
- Fax
- (954) 370-7670
- NPI assigned
- Jan 4, 2006
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PY4492 | FL | Primary |
Addresses
Primary practice location
300 S Pine Island Rd
#263
Plantation, FL 33324-2673
Mailing address
40 NE 2ND Ave
Deerfield Beach, FL 33442-6642
Phone (954) 489-0798
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96117 | Other | FL | AETNA |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4492 | FL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376521971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 NE 2ND AVE",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334426642",
"telephone_number": "954-489-0798",
"fax_number": "954-923-5235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S PINE ISLAND RD",
"address_2": "#263",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242673",
"telephone_number": "954-489-0788",
"fax_number": "954-370-7670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNEE",
"first_name": "KATHLEEN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "PY4492",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "96117",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.