Jennifer R Knutson, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95004553 Issued in CA

Practice address

2409 S. Vermont Ave.
Los Angeles, CA 90007

Phone

(323) 730-1663

Fax

(323) 730-9961

NPI assigned

Aug 8, 2016

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Afshin Akhavan D.O., a Professional Corporation

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1821210329
  NPD
• Northwest Spokane Pediatrics, PLLC

  • Pediatric Nurse Practitioner
  • Spokane, WA
  • NPI 1952525636
  NPD (past)

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1770037715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153723",
            "telephone_number": "323-730-1663",
            "fax_number": "323-730-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 S. VERMONT AVE.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90007",
            "telephone_number": "323-730-1663",
            "fax_number": "323-730-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTSON",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95004553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice Anette Knox
• Whitney Knox
• Beatrice S. Knudsen, M.D., PH.D.
• Kendra Knudsen
• Clarissa Knudson
• Yuri Ko Villalvazo
• Ahra C Ko
• Albert H Ko
• Ara Ko
• Ara Ko, M.D., M.P.H.

• Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.