Organization Active NPI

Knight Neurology LLC

  • Medical Specialty Clinic/Center
  • Rockledge, FL
National Provider Identifier
1629415724
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
KNIGHT NEUROLOGY LLC
Practice address
211 Coral Sands Dr Ste B
Rockledge, FL 32955-2749
Phone
(321) 345-6331
Fax
(321) 345-3295
NPI assigned
May 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Ms. Kimberly Field
Title
Office Manager
Phone
(321) 345-6331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

211 Coral Sands Dr Ste B
Rockledge, FL 32955-2749

Mailing address

211 Coral Sands Dr Ste B
Rockledge, FL 32955-2749
Phone (321) 345-6331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130723000908 FL Part B Supplier - Clinic/Group Practice 5698916344 Receives reassigned benefits from 8 practitioners
Practice locations: Rockledge, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2326169Knight Neurology LLC211 Coral Sands Dr Ste B, Rockledge, FL 32955Certificate of waiverJun 26, 2027

National Provider Directory

National Provider Directory

Locations

1264 Rockledge Blvd
Ste 101
Rockledge, FL 32955
Phone (321) 345-6331

211 Coral Sands Dr
Ste B
Rockledge, FL 32955
Phone (321) 345-6331

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1629415724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CORAL SANDS DR STE B",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552749",
            "telephone_number": "321-345-6331",
            "fax_number": "321-345-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CORAL SANDS DR STE B",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552749",
            "telephone_number": "321-345-6331",
            "fax_number": "321-345-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHT NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "FIELD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "321-345-6331",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.