Individual provider Active NPI

Shelly L Cook-Knighting, RN

  • Registered Nurse
  • Front Royal, VA
National Provider Identifier
1386946226
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001175021 Issued in VA
Practice address
103 Lee Burke Rd
Front Royal, VA 22630-8421
Phone
(540) 635-7923
Fax
(540) 622-2905
NPI assigned
Nov 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001175021 VA Primary

Addresses

Primary practice location

103 Lee Burke Rd
Front Royal, VA 22630-8421

Mailing address

65 Lee Burke Rd
Front Royal, VA 22630-8418
Phone (540) 635-7923

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001175021VAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1386946226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 LEE BURKE RD",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226308418",
            "telephone_number": "540-635-7923",
            "fax_number": "540-622-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LEE BURKE RD",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226308421",
            "telephone_number": "540-635-7923",
            "fax_number": "540-622-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK-KNIGHTING",
        "first_name": "SHELLY",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001175021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.