Kathleen Ann Knight
Individual provider Active NPI Registered Nurse · Dewey, AZ
NPI 1730050899 · NPPES record last updated Sep 13, 2025
Key facts
- NPI
- 1730050899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 282735 (AZ)
- Practice address
- 12255 E Turquoise Cir
Dewey, AZ 86327-5742 - Phone
- (928) 759-4910
- Fax
- (928) 759-4920
- NPI assigned
- Sep 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 282735 | AZ | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | 282735 | AZ | Yes |
Addresses
Primary practice location
12255 E Turquoise Cir
Dewey, AZ 86327-5742
Mailing address
12651 E Brumoso St
Dewey, AZ 86327-7234
Phone (209) 470-2090
NPI Registry JSON
{
"created_epoch": "1757721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757721600000",
"number": "1730050899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12651 E BRUMOSO ST",
"city": "DEWEY",
"state": "AZ",
"postal_code": "863277234",
"telephone_number": "209-470-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12255 E TURQUOISE CIR",
"city": "DEWEY",
"state": "AZ",
"postal_code": "863275742",
"telephone_number": "928-759-4910",
"fax_number": "928-759-4920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "KATHLEEN",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-13",
"last_updated": "2025-09-13",
"certification_date": "2025-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "AZ",
"license": "282735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dewey, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.