Connie Knaack

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

11765 Regent Park Dr
Chardon, OH 44024-8334

Phone

(440) 286-8839

NPI assigned

Oct 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1730787888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11765 REGENT PARK DR",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440248334",
            "telephone_number": "440-286-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11765 REGENT PARK DR",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440248334",
            "telephone_number": "440-286-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAACK",
        "first_name": "CONNIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Kleinberger, DO
• Emma Kleismit
• Meredith Myers Klemencic
• Dawn Kline
• Melissa Ann Kluk, LPCC-S
• Jeigh M Knodel
• Sarah Knowles, CNS
• Tia Kocianic, LISW
• Griffin Leigh Koelsch
• Anoshe Shaheen Kokikheil, D.O

• Home Health Aide in Chardon, OH
• Providers in Chardon, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.