Individual provider Active NPI

Amy Rebecca Knotts, FNP

  • Family Nurse Practitioner
  • Middletown, OH
National Provider Identifier
1548859168
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027906 Issued in OH
Practice address
6147 State Route 122 Ste 200
Middletown, OH 45005-5201
Phone
(513) 261-3500
Fax
(513) 261-3509
NPI assigned
Jan 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.385923 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0027906 OH Primary

Addresses

Primary practice location

6147 State Route 122 Ste 200
Middletown, OH 45005-5201

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

Other practice location 1

3420 Towne Blvd
Middletown, OH 45005-5506
Phone (513) 217-2185

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aknotts706467@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210202001948 OH Practitioner - Nurse Practitioner 1850705880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534

6147 State Route 122
Middletown, OH 45005-5201
Phone 5132613500513261

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.385923OHMDRegistered Nurse
APRN.CNP.0027906OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc CurrentSince May 1, 2022 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Oct 27, 2020 Accepting new patients
Alliance Physicians Inc CurrentSince May 1, 2022 Accepting new patients

Locations

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

1425 Columbus Ave
Lebanon, OH 45036
Phone (513) 228-7370

3420 Towne Blvd
Middletown, OH 45005
Phone (513) 217-2150

6147 State Route 122
Ste 200
Middletown, OH 45005
Phone (513) 261-3500

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1548859168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6147 STATE ROUTE 122 STE 200",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055201",
            "telephone_number": "513-261-3500",
            "fax_number": "513-261-3509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3420 Towne Blvd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450055506",
            "country_code": "US",
            "telephone_number": "513-217-2185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOTTS",
        "first_name": "AMY",
        "middle_name": "REBECCA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.385923",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aknotts706467@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "6147 State Route 122 Ste 200",
            "city": "Middletown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450055201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "6147 State Route 122 Ste 200",
            "city": "Middletown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450055201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.