TW McKnight Enterprises

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TW MCKNIGHT ENTERPRISES

Practice address

550 Polk St
Suite a
Twin Falls, ID 83301-3916

Phone

(208) 736-7090

Fax

(208) 736-7089

NPI assigned

Dec 29, 2009

Organization subpart

No

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

Authorized official

Name

Wendy Lee McKnight

Title

Owner

Phone

(208) 736-7090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LIFESPAN FAMILY PRACTICE, LLC Doing business as

Locations

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1477883296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 POLK ST",
            "address_2": "SUITE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013916",
            "telephone_number": "208-736-7090",
            "fax_number": "208-736-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POLK ST",
            "address_2": "SUITE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013916",
            "telephone_number": "208-736-7090",
            "fax_number": "208-736-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TW MCKNIGHT ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-736-7090"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477883296",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFESPAN FAMILY PRACTICE, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fernette Turner, PT
• Jacqueline E Turner, ACNP
• Kendall Turner
• Turning Point Center for Change Inc
• Kimberly Dolecheck Tverdy, PA-C
• TW McKnight Enterprises
• Twin Falls Anesthesia Associates LLC
• Twin Falls Chardonnay LLC
• Twin Falls County
• Twin Falls Dental Group PLLC

• Family Nurse Practitioner in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.