Linda J Knapp, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

36027 Issued in MN

Practice address

3555 Willow LK Blvd
Suite 140
Vadnais Heights, MN 55110

Phone

(651) 770-2124

Fax

(651) 770-3701

NPI assigned

Sep 7, 2005

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 identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Northern Lights Pediatric & Adolescent Medicine

  • Pediatric Adolescent Medicine Physician
  • Vadnais Heights, MN
  • NPI 1912069519
  NPD (past)

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1508850561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 WILLOW LK BLVD",
            "address_2": "SUITE 140",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "55110",
            "telephone_number": "651-770-2124",
            "fax_number": "651-770-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 WILLOW LK BLVD",
            "address_2": "SUITE 140",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "55110",
            "telephone_number": "651-770-2124",
            "fax_number": "651-770-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "LINDA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MN",
            "license": "36027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1226436",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012078200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1226435",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "CP9090577009",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "299L5KN",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marjan Sarah Khazaeli, PHARM.D., BCACP
• David A Kittleson, MD
• Zgia Melissa Kjonaas, D.C.
• Jonathan Albert Klein, PT, DPT
• Hannah Klitzke
• Christine Koentopp, BPHARM
• Jessica Marie Krause, AUD
• Rebecca Paige Krause, PT, DPT
• Lana K Schultz Krumwiede, PT
• Nicole Kwapick

• Pediatric Adolescent Medicine Physician in Vadnais Heights, MN
• Providers in Vadnais Heights, MN by specialty
• Pediatric Adolescent Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.