Organization Active NPI

Trent E. Knewtson

  • Family Medicine Physician
  • Paola, KS
National Provider Identifier
1649468174
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
529059 Issued in KS
Legal business name
TRENT E. KNEWTSON
Practice address
705 Baptiste Dr
Paola, KS 66071-1336
Phone
(913) 294-2305
Fax
(913) 294-5403
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Ms. Cherrie J. Kramer
Title
Office Manager
Phone
(913) 294-2305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 529059 KS Primary

Addresses

Primary practice location

705 Baptiste Dr
Paola, KS 66071-1336

Mailing address

PO Box 298
Paola, KS 66071-0298
Phone (913) 294-2305

Other identifiers 5

IdentifierTypeStateIssuer
100866OtherKANSAS BLUE SHIELD
529059OtherKSSTATE LICENSE
1982693503OtherKSNPI
621111OtherKSNAICS
29201011OtherKSMISSOURI BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1649468174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660710298",
            "telephone_number": "913-294-2305",
            "fax_number": "913-294-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BAPTISTE DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711336",
            "telephone_number": "913-294-2305",
            "fax_number": "913-294-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRENT E. KNEWTSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "CHERRIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "913-294-2305",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "529059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS BLUE SHIELD",
            "identifier": "100866",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "529059",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1982693503",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAICS",
            "identifier": "621111",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI BLUE SHIELD",
            "identifier": "29201011",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paola, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.