Active NPI
McKenzie Reed Knight, DC
- Chiropractor
- Lakeland, FL
National Provider Identifier
1639849391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH13471
- Practice address
- 5110 S Florida Ave
Lakeland, FL 33813-2512 - Phone
- (269) 449-4203
- NPI assigned
- Sep 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH13471 | FL | Primary |
Addresses
Primary practice location
5110 S Florida Ave
Lakeland, FL 33813-2512
Mailing address
5505 Craig Dr
Lakeland, FL 33809-3119
Phone (269) 449-4203
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Lakeland | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
336 Kathleen Rd
Lakeland, FL 33815-3119
3813 Swindell Rd
Lakeland, FL 33810-2813
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH13471 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1639849391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5505 CRAIG DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338093119",
"telephone_number": "269-449-4203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5110 S FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338132512",
"telephone_number": "269-449-4203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "MCKENZIE",
"middle_name": "REED",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-15",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH13471",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Lakeland",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5110 S Florida Ave",
"city": "Lakeland",
"state": "FL",
"country_code": "US",
"postal_code": "338132512",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.