Julissa Agustina Knight

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

59203601 Issued in PA

Practice address

626 Greene CT
Fountain Hill, PA 18015-4424

Phone

(917) 755-9665

NPI assigned

Feb 13, 2023

Last updated

Feb 13, 2023By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Abbott Home Health

  • Personal Care Attendant
  • Fountain Hill, PA
  • NPI 1629849252

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1477250223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 GREENE CT",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180154424",
            "telephone_number": "917-755-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 GREENE CT",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180154424",
            "telephone_number": "917-755-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "JULISSA",
        "middle_name": "AGUSTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "PA",
            "license": "59203601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brice Allen Kessler
• Tracy Lynn Kester
• Salman Khan, M.D.
• Rami A Khoury, DMD
• John S Kintzer Jr., M.D.
• Lauren L Knipe, PA-C
• Gary Michael Kon, CAADC
• Kristin L Kratzer, DMD
• Gregory A Krausz, MA, CAADC, LPC
• Jessica Nicole Krautsack, PA-C

• Home Health Aide in Fountain Hill, PA
• Providers in Fountain Hill, PA by specialty
• Home Health Aide in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.