Individual provider Active NPI

Nicole Knight, CNM

  • Advanced Practice Midwife
  • Walnut Creek, CA
National Provider Identifier
1649931718
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
120 La Casa Via Ste 208
Walnut Creek, CA 94598-3007
Phone
(925) 935-5356
Fax
(925) 935-1070
NPI assigned
Dec 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 714661 CA
Advanced Practice Midwife 367A00000X CA Primary

Addresses

Primary practice location

120 La Casa Via Ste 208
Walnut Creek, CA 94598-3007

Mailing address

120 La Casa Via Ste 208
Walnut Creek, CA 94598-3007
Phone (925) 935-5356

Other practice location 1

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Phone (925) 939-5800

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Epic Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231004001920 CA Practitioner - Certified Nurse Midwife (CNM) 6608221098 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Jul 31, 2023 Accepting new patients
Bass Medical Group CurrentSince Jul 31, 2023 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

120 La Casa Via
Ste 208
Walnut Creek, CA 94598
Phone (925) 256-4045

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

Interoperability endpoints

  • Direct secure messaging: nknight154768@ehr.johnmuirhealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1649931718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LA CASA VIA STE 208",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983007",
            "telephone_number": "925-935-5356",
            "fax_number": "925-935-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LA CASA VIA STE 208",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983007",
            "telephone_number": "925-935-5356",
            "fax_number": "925-935-1070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Ygnacio Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945983122",
            "country_code": "US",
            "telephone_number": "925-939-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "NICOLE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-31",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "714661",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Epic",
            "affiliation": "N",
            "endpointDescription": "EPIC/MyChart",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1601 Ygnacio Valley Rd",
            "city": "Walnut Creek",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945983122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.