Individual provider Active NPI

Dianne Knight, M.D.

  • Family Medicine Physician
  • Titusville, FL
National Provider Identifier
1609887223
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME46752 Issued in FL
Practice address
1250 Grumman PL Ste B
Titusville, FL 32780-7927
Phone
(321) 269-4240
Fax
(321) 269-5428
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME46752 FL Primary

Addresses

Primary practice location

1250 Grumman PL Ste B
Titusville, FL 32780-7927

Mailing address

1250 Grumman PL Ste B
Titusville, FL 32780-7927
Phone (321) 269-4240

Other identifiers 2

IdentifierTypeStateIssuer
CR085XOtherFLMEDICARE
110215200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100123000199 FL Practitioner - Hospice/Palliative CarePractitioner - Pediatric Medicine 7012059439 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Pathways to Healthcare, LLC CurrentSince Apr 1, 2021 Accepting new patients
Hospice of St. Francis, Inc. Family Medicine Current Accepting new patients
The Hospice of the Florida Suncoast, Inc. Family Medicine Past Accepting new patients
Chapters Health Palliative Care, LLC Past Accepting new patients
Empath Health Pharmaceuticals, LLC Past Accepting new patients

Locations

1250 Grumman Pl
Ste B
Titusville, FL 32780
Phone (321) 269-4240

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1609887223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 GRUMMAN PL STE B",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807927",
            "telephone_number": "321-269-4240",
            "fax_number": "321-269-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 GRUMMAN PL STE B",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807927",
            "telephone_number": "321-269-4240",
            "fax_number": "321-269-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "DIANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME46752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CR085X",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110215200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.