Dianne Marie Knettel, RN MS

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

243367 Issued in GA

Practice address

37 Calumet Pkwy Ste 100
Newnan, GA 30263-6734

Phone

(770) 304-0072

Fax

(678) 669-2693

NPI assigned

Jan 11, 2018

Last updated

Jan 11, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grace Harbour, Inc

  • Community/Behavioral Health Agency
  • Peachtree City, GA
  • NPI 1407072770
  NPD (past)

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1629586748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WESTPARK DR STE 325",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693574",
            "telephone_number": "770-486-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CALUMET PKWY STE 100",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302636734",
            "telephone_number": "770-304-0072",
            "fax_number": "678-669-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNETTEL",
        "first_name": "DIANNE",
        "middle_name": "MARIE",
        "credential": "RN MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "GA",
            "license": "243367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amari Kinsey, RBT
• Patricia Sue Kipper, AA-C
• Larhonda Kirkland, CCC-SLP
• Daniel S. Kirschenbaum, PH.D.
• Graham Thomas Kittrell
• Grace Beckham Knotts, PA-C
• Molly Knowles
• Lyonell Benn-Izak Kone, MD, MHS
• Sharyn Kosasi
• Henry J Krebs III, M.D.

• Psychiatric/Mental Health Registered Nurse in Newnan, GA
• Providers in Newnan, GA by specialty
• Psychiatric/Mental Health Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.