Kristen Jeffcoat-Knauer, RN, MSN, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

CNP02288 Issued in NM

Practice address

1521 W 13TH St
Clovis, NM 88101-5568

Phone

(575) 769-0888

Fax

(575) 763-9154

NPI assigned

Nov 7, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristen.jeffcoat-knauer@762372768137220.direct.elationemr.com
• Direct secure messaging: kristen.jeffcoat-knauer@363238321553412.direct.elationemr.com

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.

• Clovis Family Health Care Center LLC

  • Family Medicine Physician
  • Clovis, NM
  • NPI 1619046950

  Family Medicine, NM

  Medicare reassignment NPD
• Clovis Family Health Care Center LLC

  • Family Medicine Physician
  • Clovis, NM
  • NPI 1760123475

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1669801858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 W 21ST ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014154",
            "telephone_number": "575-935-9000",
            "fax_number": "575-935-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 W 13TH ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881015568",
            "telephone_number": "575-769-0888",
            "fax_number": "575-763-9154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "912 W 21st St",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "NM",
            "postal_code": "881014154",
            "country_code": "US",
            "telephone_number": "575-935-9000",
            "fax_number": "575-935-1002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFCOAT-KNAUER",
        "first_name": "KRISTEN",
        "credential": "RN, MSN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NM",
            "license": "CNP02288",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "GP-01143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayla Jaquess
• Jessica Dawn Jaquess, PTA
• Jayden Jara
• Nicole Jasso
• Jayashree Sinha MD PC
• Sheri L Jeffcoat, CCC-SLP
• Jolene Jeffers
• Annelise Jensen
• Jeremy W Burgin, DDS
• Barbara Jimenez

• Pediatric Nurse Practitioner in Clovis, NM
• Providers in Clovis, NM by specialty
• Pediatric Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.