Active NPI
Kathryn J Knipel
- Pediatric Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1649434457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SP009473
- Practice address
- 34TH Street and Civic Center Boulevard
Richard D Wood Ambulatory Care Center 3Rd Floor
Philadelphia, PA 19104-4399 - Phone
- (267) 425-4650
- Fax
- (267) 425-4469
- NPI assigned
- Jul 11, 2008
- Last updated
- Jul 11, 2008
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | SP009473 | PA | Primary |
Addresses
Primary practice location
34TH Street and Civic Center Boulevard
Richard D Wood Ambulatory Care Center 3Rd Floor
Philadelphia, PA 19104-4399
Mailing address
411 S Feathering LN
Media, PA 19063-4546
Phone (610) 937-2994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP009473 | PA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215734400000",
"number": "1649434457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 S FEATHERING LN",
"city": "MEDIA",
"state": "PA",
"postal_code": "190634546",
"telephone_number": "610-937-2994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34TH STREET AND CIVIC CENTER BOULEVARD",
"address_2": "RICHARD D WOOD AMBULATORY CARE CENTER 3RD FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044399",
"telephone_number": "267-425-4650",
"fax_number": "267-425-4469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIPEL",
"first_name": "KATHRYN",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-11",
"last_updated": "2008-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP009473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.