Active NPI
Jamie Melisa Knece, LPN
- Licensed Practical Nurse
- South Bloomfield, OH
National Provider Identifier
1619282167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN.134024-M-IV
- Practice address
- 66 Knollwood CT
South Bloomfield, OH 43103-2003 - Phone
- (740) 983-2640
- NPI assigned
- Aug 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN.134024-M-IV | OH | Primary |
Addresses
Primary practice location
66 Knollwood CT
South Bloomfield, OH 43103-2003
Mailing address
4533 Brownie Rd
Port Charlotte, FL 33953-5934
Phone (941) 565-3454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN.134024-M-IV | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575158400000",
"number": "1619282167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4533 BROWNIE RD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339535934",
"telephone_number": "941-565-3454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 KNOLLWOOD CT",
"city": "SOUTH BLOOMFIELD",
"state": "OH",
"postal_code": "431032003",
"telephone_number": "740-983-2640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNECE",
"first_name": "JAMIE",
"middle_name": "MELISA",
"name_prefix": "Miss",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-09",
"last_updated": "2019-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN.134024-M-IV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Bloomfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.