Erica Elyse Knowles, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704309969 Issued in MI

Practice address

10 W Square Lake Rd Ste 301
Bloomfield Hills, MI 48302-0468

Phone

(248) 452-9500

NPI assigned

Aug 10, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1780295279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W SQUARE LAKE RD STE 301",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W SQUARE LAKE RD STE 301",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020468",
            "telephone_number": "248-452-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "ERICA",
        "middle_name": "ELYSE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704309969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toria Klungle
• Cassandra Morley Klyman, M.D
• KMS Mental Health and Wellness (Bloomfield Behavioral Health)
• Anne Marie Knapke, NP
• Elizabeth Mary Knisely
• Walter Knysz III, M.D.
• Lori Marie Kodan, OTRL
• Mary Kollo
• Tamara Kolton, PH.D.
• Jordan Anne Kondrat, PT, DPT

• Family Nurse Practitioner in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.