Individual provider Active NPI

Stephanie B Knight, AGACNP-BC

  • Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1518337666
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP129227 Issued in TX
Practice address
2000 S Mays St
Round Rock, TX 78664-7531
Phone
(512) 244-4272
NPI assigned
Oct 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP129227 TX
Nurse Practitioner 363L00000X AP129227 TX Primary

Addresses

Primary practice location

2000 S Mays St
Round Rock, TX 78664-7531

Mailing address

2000 S Mays St Ste 201
Round Rock, TX 78664-7580
Phone (512) 244-4272

Other identifiers 1

IdentifierTypeStateIssuer
353637701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160108000154 TX Practitioner - Nurse Practitioner 9436451465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark Malone MD PAGroup PAC ID 2567369424, 102 clinicians

Practice addresses (Care Compare)

203 N Ih
35 Suite C
Belton, TX 76513-3515
Phone (254) 741-6641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP129227TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Malone MD PA CurrentSince Oct 15, 2015 Accepting new patients
Mark Malone MD PA CurrentSince Feb 27, 2022 Accepting new patients
Mark Malone, MD PA CurrentSince Oct 15, 2015 Accepting new patients

Locations

6000 S Mopac Expy
Ste 100
Austin, TX 78749

1106 College St
Ste C
Bastrop, TX 78602
Phone (512) 244-2895

203 N Interstate 35
Ste C
Belton, TX 76513

2000 S Mays St
Ste 201
Round Rock, TX 78664
Phone (512) 492-3743

2000 S Mays St
Round Rock, TX 78664

Interoperability endpoints

  • Direct secure messaging: stephanie.knight.1@24201.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1518337666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S MAYS ST STE 201",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647580",
            "telephone_number": "512-244-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S MAYS ST",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647531",
            "telephone_number": "512-244-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "STEPHANIE",
        "middle_name": "B",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP129227",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP129227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "353637701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.