Active NPI
Stephen Patrick Knight, RPA, RT(R)
- Radiology Practitioner Assistant
- Jacksonville, FL
National Provider Identifier
1497081319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Practitioner Assistant
- License
- 07 TX 1287
- Practice address
- 655 West Eighth Street C90
Jacksonville, FL 32209 - Phone
- (904) 244-6086
- NPI assigned
- Oct 28, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Radiology Practitioner Assistant | 243U00000X | 07 TX 1287 | Primary | |
| Radiologic Technologist | 247100000X | 54399 | FL |
Addresses
Primary practice location
655 West Eighth Street C90
Jacksonville, FL 32209
Mailing address
1619 Creek Point Blvd
Jacksonville, FL 32218-8307
Phone (904) 487-2356
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54399 | FL | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256688000000",
"number": "1497081319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1619 CREEK POINT BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322188307",
"telephone_number": "904-487-2356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 WEST EIGHTH STREET C90",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32209",
"telephone_number": "904-244-6086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "STEPHEN",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "RPA, RT(R)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-28",
"last_updated": "2009-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "243U00000X",
"taxonomy_group": "",
"desc": "Radiology Practitioner Assistant",
"state": null,
"license": "07 TX 1287",
"primary": true
},
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "FL",
"license": "54399",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.