Kelly Knipp

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

TMP-160337 Issued in KS

Practice address

1737 SE US Highway 54
El Dorado, KS 67042-8264

Phone

(316) 321-7284

NPI assigned

Oct 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Neurodivergent Consultants of Kansas

  • Neurodevelopmental Disabilities Physician
  • Wichita, KS
  • NPI 1326744301
  Medicare reassignment NPD
• Prairiestar Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Hutchinson, KS
  • NPI 1871564534
  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  KS

  Medicare reassignment NPD

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1619630944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 SE US HIGHWAY 54",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670428264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 SE US HIGHWAY 54",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670428264",
            "telephone_number": "316-321-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIPP",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "TMP-160337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ElDorado",
            "affiliation": "N",
            "address_1": "1737 SE US Highway 54",
            "city": "El Dorado",
            "state": "KS",
            "country_code": "US",
            "postal_code": "670428264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• JWM Medical Inc,. (Ark Valley O & P)
• Kerby Lynn Kelly
• Michael Austin Kemmling, D.D.S.
• Sania Hena Khokhar, PHARMD
• Cortnie Killen
• Kelli Kretz
• Lindsay Kroeger, LSCSW, LICSW, RPT-S
• Henry Richard Kuhns Jr., M.D.
• Kyle M. Tipton, M.D., P.a.
• Laboratory Corporation of America Holdings

• Family Nurse Practitioner in El Dorado, KS
• Providers in El Dorado, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.