Renee A Knutson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

725 Issued in WI

Practice address

38 Hidden Hollow TRL
Madison, WI 53717-2501

Phone

(608) 669-6862

NPI assigned

May 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1730137548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 HIDDEN HOLLOW TRL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 HIDDEN HOLLOW TRL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172501",
            "telephone_number": "608-669-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTSON",
        "first_name": "RENEE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42945500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH INSURANCE",
            "identifier": "4204",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn D Knudtson Manske, APNP
• Jeffrey William Knuppel, M.D.
• Keith Alan Knurr, DPT
• Barbara Jean Knutson, MS LPC
• Kevin James Knutson, DDS, MS
• Sarah M Knutson
• Michael J Knuuti, PA-C
• Eunjeong Ko
• Huaising Cindy Ko, M.D.
• Kenneth Kobak, PH.D.

• Medical Physician Assistant in Madison, WI
• Providers in Madison, WI by specialty
• Medical Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.