Laura Elizabeth Knoderer

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

775 E Eliza St
Kenton, OH 43326-1486

Phone

(419) 675-2243

Fax

(419) 674-4661

NPI assigned

Mar 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1521244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1427551282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 CRESTWOOD DR",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 E ELIZA ST",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433261486",
            "telephone_number": "419-675-2243",
            "fax_number": "419-674-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNODERER",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenton Family Practice LLC
• Kenton Nursing & Rehabilitation Center LLC
• Kenton Vision Care, Inc.
• Andrea Lee King
• Megan Marie Kinnison, R.D., L.D.
• Krista M. Kiraly, D.D.S., L.L.C.
• Lane Drug Co
• Leanne Larson
• Constance Latham, P.T.
• Michael Leady

• Case Manager/Care Coordinator in Kenton, OH
• Providers in Kenton, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.