Active NPI
Jennifer Knight, PA
- Surgical Physician Assistant
- Orlando, FL
National Provider Identifier
1407874712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA 9103330
- Practice address
- 58 W Michigan St
Orlando, FL 32806-4453 - Phone
- (407) 649-7686
- Fax
- (407) 649-7692
- NPI assigned
- Jul 17, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA 9103330 | FL | Primary |
Addresses
Primary practice location
58 W Michigan St
Orlando, FL 32806-4453
Mailing address
58 W Michigan St
Orlando, FL 32806-4453
Phone (407) 649-7686
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9103330 | FL | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407874712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 W MICHIGAN ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328064453",
"telephone_number": "407-649-7686",
"fax_number": "407-649-7692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 W MICHIGAN ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328064453",
"telephone_number": "407-649-7686",
"fax_number": "407-649-7692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "JENNIFER",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA 9103330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, 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.