Active NPI
Jimmie Sue Knight, RN, PHN, IBCLC
- Lactation Consultant (Registered Nurse)
- Morgan Hill, CA
National Provider Identifier
1780865485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 692825
- Practice address
- 15880 El Pajaro CT
Morgan Hill, CA 95037-5640 - Phone
- (408) 859-1490
- NPI assigned
- Nov 21, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 692825 | CA | |
| Lactation Consultant (Registered Nurse) | 163WL0100X | 692825 | CA | Primary |
Addresses
Primary practice location
15880 El Pajaro CT
Morgan Hill, CA 95037-5640
Mailing address
15880 El Pajaro CT
Morgan Hill, CA 95037-5640
Phone (408) 859-1490
Other practice location 1
80 Highland Ave
San Martin, CA 95046-9504
Phone (408) 683-1232
Other names 1
- Jimmie Sue Clark
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 692825 | CA | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1780865485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15880 EL PAJARO CT",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950375640",
"telephone_number": "408-859-1490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15880 EL PAJARO CT",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950375640",
"telephone_number": "408-859-1490"
}
],
"practiceLocations": [
{
"address_1": "80 Highland Ave",
"address_purpose": "LOCATION",
"city": "San Martin",
"state": "CA",
"postal_code": "950469504",
"country_code": "US",
"telephone_number": "408-683-1232",
"fax_number": "408-683-4953",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNIGHT",
"first_name": "JIMMIE",
"middle_name": "SUE",
"name_prefix": "Ms.",
"credential": "RN, PHN, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-21",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CA",
"license": "692825",
"primary": false
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "CA",
"license": "692825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JIMMIE",
"last_name": "CLARK",
"middle_name": "SUE",
"credential": "R.N., P.H.N.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Morgan Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.