Individual provider Active NPI

Nathan Knopf, LMP

  • Specialist
  • Bellevue, WA
National Provider Identifier
1740400266
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00007651 Issued in WA
Practice address
2025 112TH Ave NE BLDG 2
Suite 300
Bellevue, WA 98004-2943
Phone
(425) 455-8273
Fax
(425) 484-2122
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00007651 WA Primary

Addresses

Primary practice location

2025 112TH Ave NE BLDG 2
Suite 300
Bellevue, WA 98004-2943

Mailing address

218 Main St # 189
Kirkland, WA 98033-6108
Phone (425) 455-8273

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

LicenseStateTypeSpecialty
MA00007651WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1740400266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 MAIN ST # 189",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336108",
            "telephone_number": "425-455-8273",
            "fax_number": "425-484-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 112TH AVE NE BLDG 2",
            "address_2": "SUITE 300",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042943",
            "telephone_number": "425-455-8273",
            "fax_number": "425-484-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOPF",
        "first_name": "NATHAN",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00007651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.