Kellyann Knight, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

21554 Issued in CA

Practice address

2400 E 4TH St
Suite 65
National City, CA 91950-2026

Phone

(619) 470-4321

NPI assigned

May 18, 2010

Last updated

Jul 13, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Mansour Mofidi DO IncGroup PAC ID 7315085149, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

91.91

Improvement activities

40

Cost

79.27

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mansour Mofidi, D.O.,Inc

  • Internal Medicine Physician
  • La Mesa, CA
  • NPI 1902043193
  Medicare reassignment Care Compare group NPD
• Careconnectmd Ca PC

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1366063125
  Medicare reassignment NPD
• Paradise Valley Medical Group, Inc.

  • Pain Medicine (Psychiatry & Neurology) Physician
  • National City, CA
  • NPI 1003037722
  Medicare reassignment NPD
• Saleem Rajper Medical Corporation

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1518286327
  Medicare reassignment NPD
• Senior Medical Associates, Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • San Diego, CA
  • NPI 1629253505
  Medicare reassignment NPD
• Paradise Valley Medical Group, Inc.

  • Urgent Care Clinic/Center
  • National City, CA
  • NPI 1013567320
  NPD
• Plastic Surgery Specialists PC

  • Plastic and Reconstructive Surgery Physician
  • Phoenixville, PA
  • NPI 1164521241
  NPD (past)

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1578882478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 E 4TH ST",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502026",
            "telephone_number": "619-470-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E 4TH ST",
            "address_2": "SUITE 65",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502026",
            "telephone_number": "619-470-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "KELLYANN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "21554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khalid Khoudari, DDS
• Brendan Kidder, MD
• Jeannie G Kim, MD
• Kyung Chul Kim, M.D.
• Justin Benard King, MD
• Jennifer Knisely, PMHNP-BC
• Latania Knox
• Anita Koo, O.D.
• Nathaniel Benjamin Kopka, BT
• Allison Kornblatt, M.D.

• Adult Health Nurse Practitioner in National City, CA
• Providers in National City, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.