Individual provider Active NPI

Kevin Knowlton, FNP-C

  • Family Nurse Practitioner
  • Guilford, CT
National Provider Identifier
1598526766
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12.012787 Issued in CT
Practice address
1591 Boston Post Rd Ste 100
Guilford, CT 06437-4335
Phone
(203) 453-9911
NPI assigned
Jan 16, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11036860 FL
Family Nurse Practitioner 363LF0000X 12.012787 CT Primary

Addresses

Primary practice location

1591 Boston Post Rd Ste 100
Guilford, CT 06437-4335

Mailing address

1591 Boston Post Rd Ste 100
Guilford, CT 06437-4335
Phone (203) 453-9911

Other practice location 1

6900 NW 9th Blvd
Gainesville, FL 32605-4251
Phone (352) 333-6680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240409003697 CT Practitioner - Nurse Practitioner 6002254018 Reassigns benefits to 1 organization
I20250212003832 FL Practitioner - Nurse Practitioner 6002254018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gainesville Physicians LLCGroup PAC ID 1759431182, 14 clinicians

Practice addresses (Care Compare)

6900 NW 9TH Blvd
Gainesville, FL 32605-4251
Phone (352) 333-6680

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12.012787CTMDFamily Nurse Practitioner
11036860FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Physicians LLC CurrentSince Feb 24, 2025 Accepting new patients
Prohealth Physicians PC Nurse Practitioner CurrentSince Apr 8, 2024 Accepting new patients

Locations

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

1591 Boston Post Rd
Ste 100
Guilford, CT 06437
Phone (203) 453-9911

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

6900 NW 9th Blvd
Gainesville, FL 32605
Phone (352) 333-6680

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: kevin.knowlton@hca5.eclinicaldirectplus.com

Organizations & group practices 2

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": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1598526766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 BOSTON POST RD STE 100",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064374335",
            "telephone_number": "203-453-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 BOSTON POST RD STE 100",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064374335",
            "telephone_number": "203-453-9911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 NW 9th Blvd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326054251",
            "country_code": "US",
            "telephone_number": "352-333-6680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOWLTON",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-16",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11036860",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.012787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

Verify at the official NPI Registry.