Tia L Knight-Forbes, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

340527 Issued in NY

Practice address

455 Albany Ave Unit C
Amityville, NY 11701-1193

Phone

(631) 532-5093

Fax

(339) 892-3968

NPI assigned

Nov 21, 2015

Last updated

Feb 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

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 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: tia.knight-forbes.1@24989.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/21479/brand/1/csg/1/fhir/r4
• Direct secure messaging: tia.knight-forbes.1@21479.direct.athenahealth.com

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

• Itav-Nurse Practitioner Family Health PLLC

  • Family Nurse Practitioner
  • Amityville, NY
  • NPI 1588205025
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1448064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1457725921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 ALBANY AVE UNIT C",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117011193",
            "telephone_number": "631-532-5093",
            "fax_number": "833-989-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 ALBANY AVE UNIT C",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117011193",
            "telephone_number": "631-532-5093",
            "fax_number": "339-892-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT-FORBES",
        "first_name": "TIA",
        "middle_name": "L",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-21",
        "last_updated": "2021-02-18",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Amityville, NY
• Providers in Amityville, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.