Active NPI
Angel Knight, ARNP
- Nurse Practitioner
- Indialantic, FL
National Provider Identifier
1700329620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9198697
- Practice address
- 102 5TH Ave
Indialantic, FL 32903-3154 - Phone
- (321) 327-2980
- NPI assigned
- Nov 25, 2016
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9198697 | FL | Primary |
Addresses
Primary practice location
102 5TH Ave
Indialantic, FL 32903-3154
Mailing address
19 Brandy Hills Dr
Port Orange, FL 32129-3631
Phone (386) 316-0471
Other practice location 1
610 N Wymore Rd
Winter Park, FL 32789-2862
Phone (407) 622-2251
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 |
|---|---|---|---|
| ARNP9198697 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1700329620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BRANDY HILLS DR",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321293631",
"telephone_number": "386-316-0471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 5TH AVE",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329033154",
"telephone_number": "321-327-2980"
}
],
"practiceLocations": [
{
"address_1": "610 N Wymore Rd",
"address_purpose": "LOCATION",
"city": "Winter Park",
"state": "FL",
"postal_code": "327892862",
"country_code": "US",
"telephone_number": "407-622-2251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNIGHT",
"first_name": "ANGEL",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9198697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indialantic, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.