Active NPI
Kirsten McKnight, O.D.
- Optometrist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3312
- Practice address
- 1350 Concourse Ave Ste 142
Memphis, TN 38104-2020 - Phone
- (901) 701-2010
- NPI assigned
- Jul 12, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2751 | AR | |
| Optometrist | 152W00000X | 3312 | TN | Primary |
Addresses
Primary practice location
1350 Concourse Ave Ste 142
Memphis, TN 38104-2020
Mailing address
2810 Stage Park Dr
Memphis, TN 38134-4412
Phone (901) 596-6334
Other practice location 1
300 Thompson Ave
El Dorado, AR 71730-4569
Phone (870) 862-2340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 Concourse Ave
Suite 142
Memphis, TN 38104-2020
Phone (901) 272-0003
Merit-based Incentive Payment System (MIPS)
- Final score
- 93 of 100
- Quality
- 86.11
- Improvement activities
- 40
- Cost
- 85.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2751 | AR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivory a. Kinslow, Mdpa | Optometrist | Current | Accepting new patients |
| Church Health Center of Memphis Inc | Current | Accepting new patients | |
| Ivory a. Kinslow, Mdpa | Optometrist | Current | Accepting new patients |
Locations
310 Thompson Ave
El Dorado, AR 71730
Phone (870) 862-4216
300 Thompson Ave
El Dorado, AR 71730
Phone (870) 862-2340
1350 Concourse Ave
Ste 142
Memphis, TN 38104
Phone (901) 272-0003
Interoperability endpoints
- kirsten.mcknight.p1@direct.churchhealthcenter.nextgenshare.com
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Memphis, TN
- NPI 1427030907
-
- Optometrist
- Magnolia, AR
- NPI 1124684923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1831541978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 STAGE PARK DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381344412",
"telephone_number": "901-596-6334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 CONCOURSE AVE STE 142",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381042020",
"telephone_number": "901-701-2010"
}
],
"practiceLocations": [
{
"address_1": "300 Thompson Ave",
"address_purpose": "LOCATION",
"city": "El Dorado",
"state": "AR",
"postal_code": "717304569",
"country_code": "US",
"telephone_number": "870-862-2340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKNIGHT",
"first_name": "KIRSTEN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-12",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2751",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.