Kelley Ann Knowles, RN BSN PEL-CSN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

041256604 Issued in IL

Practice address

601 Willow St
Frankfort, IL 60423-1140

Phone

(815) 806-4686

NPI assigned

Feb 2, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kelley Miller Knowles Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1619730686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 W TERRACE DR",
            "city": "GLENWOOD",
            "state": "IL",
            "postal_code": "604251322",
            "telephone_number": "708-856-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WILLOW ST",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231140",
            "telephone_number": "815-806-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "KELLEY",
        "middle_name": "ANN",
        "credential": "RN BSN PEL-CSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IL",
            "license": "041256604",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "IL",
            "license": "041256604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEY",
            "last_name": "MILLER KNOWLES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Klajbor
• Rhonda Kleber, PT
• Eric Edward Klein, DMD
• Erin Kmiecik, RN-BSN
• William Knor, M.A., LCPC
• Rosita Knox
• Sylvia Natalia Kobylak
• Carl Wayne Koerner, MSW, LSW
• Candice Kokas, COTA/L
• Amy Kolesar, D.C.

• School Registered Nurse in Frankfort, IL
• Providers in Frankfort, IL by specialty
• School Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.