Active NPI
Anetra Knowles, MD
- Pediatrics Physician
- Waterford, MI
National Provider Identifier
1437813482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4351050301
- Practice address
- 2561 Elizabeth Lake Rd
Waterford, MI 48328-3313 - Phone
- (248) 682-3300
- NPI assigned
- Oct 26, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4351050301 | MI | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
2561 Elizabeth Lake Rd
Waterford, MI 48328-3313
Mailing address
2561 Elizabeth Lake Rd
Waterford, MI 48328-3313
Phone (248) 682-3300
Other practice location 1
3031 W Grand Blvd Ste 600
Detroit, MI 48202-3014
Phone (313) 346-5235
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | aknowles-gme@authorityhealth.org | Other | |
| Other URL | aknowlesthree@gmail.com | Direct |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351050301 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Devyani Khambete, M.D.,P.C. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Waterford, MI
- NPI 1114136462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760227200000",
"number": "1437813482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2561 ELIZABETH LAKE RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283313",
"telephone_number": "248-682-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2561 ELIZABETH LAKE RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283313",
"telephone_number": "248-682-3300"
}
],
"practiceLocations": [
{
"address_1": "3031 W Grand Blvd Ste 600",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482023014",
"country_code": "US",
"telephone_number": "313-346-5235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNOWLES",
"first_name": "ANETRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-26",
"last_updated": "2025-10-12",
"certification_date": "2025-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4351050301",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "aknowles-gme@authorityhealth.org",
"affiliation": "N",
"endpointDescription": "authority health",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "pediatric resident",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "pediatric resident",
"address_1": "3031 W. Grand Blvd",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "48202",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "aknowlesthree@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "aknowlesthree@gmail.com",
"address_1": "2561 Elizabeth Lake Rd",
"city": "Waterford",
"state": "MI",
"country_code": "US",
"postal_code": "483283313",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.