Individual provider Active NPI

Patricia Ann Knepshield, ATC

  • Athletic Trainer
  • Beale AFB, CA
National Provider Identifier
1376897819
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT.0001940 Issued in CO
Practice address
19351 McGregor Street
Beale AFB, CA 95903
Phone
(812) 292-0048
NPI assigned
Nov 6, 2012
Last updated
Aug 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0126001576 VA
Athletic Trainer 2255A2300X AT.0001940 CO Primary

Addresses

Primary practice location

19351 McGregor Street
Beale AFB, CA 95903

Mailing address

245 Idlewood Ave
Portsmouth, VA 23704-1535
Phone (812) 292-0048

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address patricia.knepshield.ctr@us.af.mil Direct

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

State licenses

LicenseStateTypeSpecialty
AT.0001940COMDAthletic Trainer
0126001576VAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1376897819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 IDLEWOOD AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237041535",
            "telephone_number": "812-292-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19351 MCGREGOR STREET",
            "city": "BEALE AFB",
            "state": "CA",
            "postal_code": "95903",
            "telephone_number": "812-292-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEPSHIELD",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2021-08-12",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126001576",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "AT.0001940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patricia.knepshield.ctr@us.af.mil",
            "affiliation": "N",
            "endpointDescription": "patricia.knepshield.ctr@us.af.mil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "19351 McGregor Street",
            "city": "Beale AFB",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beale AFB, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.