Active NPI
Eleyah Knight, LAC
- Acupuncturist
- Grants Pass, OR
National Provider Identifier
1730690959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC183952
- Practice address
- 141 SW K St
Grants Pass, OR 97526-2820 - Phone
- (831) 428-4003
- NPI assigned
- Oct 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC183952 | OR | Primary |
Addresses
Primary practice location
141 SW K St
Grants Pass, OR 97526-2820
Mailing address
141 SW K St
Grants Pass, OR 97526-2820
Phone (831) 428-4003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500742896 | Medicaid | OR |
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 |
|---|---|---|---|
| AC183952 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1730690959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 SW K ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975262820",
"telephone_number": "831-428-4003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 SW K ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975262820",
"telephone_number": "831-428-4003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "ELEYAH",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-15",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC183952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500742896",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.