Individual provider Active NPI

Sandra Lea Knighton, CDP

  • Addiction (Substance Use Disorder) Counselor
  • Kennewick, WA
National Provider Identifier
1548313166
Registry record updated Feb 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CP00003050 Issued in WA
Practice address
2635 W Deschutes Ave
Kennewick, WA 99336-3004
Phone
(509) 735-2704
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X RC00034331 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X CP00003050 WA Primary
Professional Counselor 101YP2500X HP10001250 WA

Addresses

Primary practice location

2635 W Deschutes Ave
Kennewick, WA 99336-3004

Mailing address

14709 E Ruppert Rd
Benton City, WA 99320-8759
Phone (509) 588-3486

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

LicenseStateTypeSpecialty
RC00034331WAMDCounselor
CP00003050WAMDAddiction (Substance Use Disorder) Counselor
HP10001250WAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202515200000",
    "number": "1548313166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14709 E RUPPERT RD",
            "city": "BENTON CITY",
            "state": "WA",
            "postal_code": "993208759",
            "telephone_number": "509-588-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 W DESCHUTES AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363004",
            "telephone_number": "509-735-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHTON",
        "first_name": "SANDRA",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00034331",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00003050",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "HP10001250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.