Individual provider Active NPI

Kathleen Jennifer Knouse, MD

  • Pediatrics Physician
  • Newport, PA
National Provider Identifier
1619936044
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD044031L Issued in PA
Practice address
46 Red Hill CT
Newport, PA 17074-8706
Phone
(717) 567-3151
Fax
(717) 567-7571
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD044031L PA Primary

Addresses

Primary practice location

46 Red Hill CT
Newport, PA 17074-8706

Mailing address

7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100623000631 PA Practitioner - Pediatric Medicine 0547391393 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD044031LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Family Practice PC Pediatrics CurrentSince Apr 1, 2011 Accepting new patients
Family Practice Center, PC CurrentSince Sep 1, 2024 Accepting new patients
Family Practice Center, PC Pediatrics CurrentSince Sep 1, 2024 Accepting new patients

Locations

7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123

52 Red Hill Ct
Newport, PA 17074
Phone (717) 441-1725

46 Red Hill Ct
Newport, PA 17074
Phone (717) 561-3151

270 Susquehanna Valley Mall Dr
Ste 300
Selinsgrove, PA 17870
Phone (570) 743-1703

Interoperability endpoints

  • Direct secure messaging: kathleenknousemd@fpc.medentdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1619936044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 RED HILL CT",
            "city": "NEWPORT",
            "state": "PA",
            "postal_code": "170748706",
            "telephone_number": "717-567-3151",
            "fax_number": "717-567-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOUSE",
        "first_name": "KATHLEEN",
        "middle_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD044031L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, PA

Sources for this page

Verify at the official NPI Registry.