Nicole Knight-Glass, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10676 Issued in CA

Practice address

1884 Century Ave
Riverside, CA 92506-4645

Phone

(909) 782-6454

NPI assigned

Jun 17, 2024

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

State licenses

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1790528685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6008 MOUNT ISLIP PL",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364552",
            "telephone_number": "909-419-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1884 CENTURY AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064645",
            "telephone_number": "909-782-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT-GLASS",
        "first_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "10676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justyce Knackstedt
• Devorah Lynn Knaff, PH.D
• Ashley Christine Knapp
• Christopher Chadwick Knapp, CPPS
• KNH Advanced Practice Nursing Inc.
• Curtis Knight, M.D.
• Kelsey Knight, MSN, CNM, IBCLC
• La Tanya Chanile Knight
• Mara Yvette Knight
• Sonja Franziska Knittel-Hliddal, MD

• Family Nurse Practitioner in Riverside, CA
• Providers in Riverside, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.