Individual provider Active NPI

Kirsten McKnight, O.D.

  • Optometrist
  • Memphis, TN
National Provider Identifier
1831541978
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3312 Issued in TN
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

Updated by the provider on Aug 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191213000717 TN Practitioner - Optometry 1254614480 Reassigns benefits to 1 organization

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
Church Health Center of Memphis IncGroup PAC ID 7517863392, 14 clinicians

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 100Reported as group
Quality
86.11
Improvement activities
40
Cost
85.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2751ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivory a. Kinslow, Mdpa Optometrist CurrentSince Jan 3, 2017 Accepting new patients
Church Health Center of Memphis Inc CurrentSince Oct 1, 2019 Accepting new patients
Ivory a. Kinslow, Mdpa Optometrist CurrentSince Jan 3, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.