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

LicenseStateTypeSpecialty
282735AZMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse
Group: 193400000X SINGLE SPECIALTY GROUP
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 13, 2025.

{
    "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

All providers in Dewey, AZ · Registered Nurse in Arizona

Sources for this page

Verify at the official NPI Registry.