Individual provider Active NPI

Camille Elizabeth Knize

  • Nurse Practitioner
  • Providence, RI
National Provider Identifier
1417430083
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN04689 Issued in RI
Practice address
44 W River St FL 2
Providence, RI 02904-2609
Phone
(401) 274-4800
Fax
(401) 454-0410
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN04689 RI Primary

Addresses

Primary practice location

44 W River St FL 2
Providence, RI 02904-2609

Mailing address

PO Box 202230
Dallas, TX 75320-2230
Phone (401) 274-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190121000820 MA Practitioner - Nurse Practitioner 7113264730 Reassigns benefits to 1 organization
I20251003002224 RI Practitioner - Nurse Practitioner 7113264730 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Northeastern Ohio University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Gastroenterology, LLCGroup PAC ID 3678762804, 99 clinicians

Practice addresses (Care Compare)

44 W River St
FL 2
Providence, RI 02904-2609
Phone (401) 274-4800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates Inc CurrentSince Aug 1, 2025 Accepting new patients
University Gastroenterology, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

500 E Washington St
North Attleboro, MA 02760
Phone (508) 316-0559

562 Washington St
South Attleboro, MA 02703
Phone (401) 725-4888

33 Staniford St
Providence, RI 02905
Phone (401) 274-1810

44 W River St
Ste 2
Providence, RI 02904

44 W River St
Providence, RI 02904
Phone 4012744800201

33 Staniford St
#2
Providence, RI 02905

44 W River St
Fl 2
Providence, RI 02904

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBICBD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1417430083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753202230",
            "telephone_number": "401-274-4800",
            "fax_number": "401-454-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 W RIVER ST FL 2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042609",
            "telephone_number": "401-274-4800",
            "fax_number": "401-454-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIZE",
        "first_name": "CAMILLE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN04689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.