Myung McKnight, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164000980 Issued in IL

Practice address

5510 E State St
Rockford, IL 61108-2381

Phone

(815) 226-2000

NPI assigned

Apr 23, 2008

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

Other names 1

• Myung Kim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1487829370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082381",
            "telephone_number": "815-226-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082381",
            "telephone_number": "815-226-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "MYUNG",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164000980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYUNG",
            "last_name": "KIM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison McKenzie, MD
• Andrea McKeown, L.P.N.
• Nicholas P McKeown, PA-C
• James William McKinley, P.T.
• Bridget Denise McKnight
• Angela McLain, LPN
• Annette McLean, LCPC
• Amanda McLellan, PHARMD
• Lateesha McMillon
• Mary M McNamara, APN

• Registered Dietitian in Rockford, IL
• Providers in Rockford, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.