Active NPI
Trent E. Knewtson
- Family Medicine Physician
- Paola, KS
National Provider Identifier
1649468174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 529059
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100866 | Other | KANSAS BLUE SHIELD | |
| 529059 | Other | KS | STATE LICENSE |
| 1982693503 | Other | KS | NPI |
| 621111 | Other | KS | NAICS |
| 29201011 | Other | KS | MISSOURI BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Paola, KS
- NPI 1205825825
-
- Family Medicine Physician
- Kailua Kona, HI
- NPI 1982693503
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.