KNW Medical Services LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

KNW MEDICAL SERVICES LLC

Practice address

2151 SW Barthel St
Port Saint Lucie, FL 34984-4301

Phone

(772) 785-9419

Fax

(772) 785-9419

NPI assigned

Mar 31, 2020

Organization subpart

No

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

Authorized official

Name

Katherine N Willingham, APRN

Title

Aprn

Phone

(772) 785-9419

Specialties & licenses 5

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1720616014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 SW BARTHEL ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349844301",
            "telephone_number": "772-785-9419",
            "fax_number": "772-785-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 SW BARTHEL ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349844301",
            "telephone_number": "772-785-9419",
            "fax_number": "772-785-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNW MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "WILLINGHAM",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "772-785-9419",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Connect",
            "affiliation": "N",
            "address_1": "2151 SW Barthel St",
            "city": "Port Saint Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349844301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angelina Kisler
• Neil Stewart Klein, D.P.M.
• Kelli Kleis, MS, RDN, LDN
• Steven Kline, DDS
• Beatrice A Knight, RDN
• Marissa Rose Kobylski, OTR/L
• Danielle Kondrashov, LCSW
• Lawrence Edward Koves, LMHC
• Shannon Paige Krause, PTA
• Melenda Kunst, SW21903

• Nursing Care Agency in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.