Victoria Ann Knull, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

135228-030 Issued in WI

Practice address

126 Howard St
Walworth, WI 53184-9509

Phone

(262) 394-5011

NPI assigned

Mar 5, 2009

Last updated

Mar 5, 2009By 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 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1619117488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 HOWARD ST",
            "city": "WALWORTH",
            "state": "WI",
            "postal_code": "531849509",
            "telephone_number": "262-394-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 HOWARD ST",
            "city": "WALWORTH",
            "state": "WI",
            "postal_code": "531849509",
            "telephone_number": "262-394-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNULL",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "135228-030",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041-334607",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "627828",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "587658-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan C Gilling, D.O.
• Golden Years Nursing Home, Inc. (Golden Years Assisted Living)
• Samantha Golembiewski, LPC
• Megan R Hopp, NP
• Dale Gary Jacobson, MD
• Bridget Grace Labus, DC
• Lake Geneva Psychology, Inc.
• McCullough Pharmacy Inc (McCulloughs Prescription and Gifts)
• Michael C. Nice, D.C.
• Catie Fern Pontel, PTA

• Registered Nurse in Walworth, WI
• Providers in Walworth, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.