Active NPI
Jamie Lynne Knotts, RDH
- Dental Hygienist
- Vancouver, WA
National Provider Identifier
1386815447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH00007603
- Practice address
- 2716 SE 169TH Ave Apt V200
Vancouver, WA 98683-2406 - Phone
- (360) 448-7070
- NPI assigned
- Mar 17, 2008
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH00007603 | WA | Primary |
Addresses
Primary practice location
2716 SE 169TH Ave Apt V200
Vancouver, WA 98683-2406
Mailing address
2716 SE 169TH Ave Apt V200
Vancouver, WA 98683-2406
Phone (360) 448-7070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DH00007603 | Other | WA | RDH DENTAL LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DH00007603 | WA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1386815447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2716 SE 169TH AVE APT V200",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986832406",
"telephone_number": "360-448-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2716 SE 169TH AVE APT V200",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986832406",
"telephone_number": "360-448-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOTTS",
"first_name": "JAMIE",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-17",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "DH00007603",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RDH DENTAL LICENSE",
"identifier": "DH00007603",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.