Individual provider Active NPI

Elizabeth Jean Knight

  • Gerontology Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1841838653
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11005314 Issued in FL
Practice address
300 Riverside Dr E Ste 1500
Bradenton, FL 34208-1031
Phone
(941) 741-3338
NPI assigned
Dec 12, 2019
Last updated
Nov 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11005314 FL Primary

Addresses

Primary practice location

300 Riverside Dr E Ste 1500
Bradenton, FL 34208-1031

Mailing address

101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000

Other practice location 1

1095 Pinellas Point Dr S
St Petersburg, FL 33705-6154
Phone (727) 867-1131

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL eknight@wservices.org
Other URL eknight@wservices.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221107003043 FL Practitioner - Nurse Practitioner 1557738382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCR Health IncGroup PAC ID 7214847995, 132 clinicians

Practice addresses (Care Compare)

12271 US Hwy 301 N
Parrish, FL 34219-8410
Phone (941) 713-2231

1312 Manatee Ave E
Bradenton, FL 34208-1358
Phone (941) 708-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11005314FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Oct 26, 2022 Accepting new patients
MCR Health, Inc. CurrentSince Oct 26, 2022 Accepting new patients
MCR Health, Inc. Past Accepting new patients
MCR Health, Inc. Past Accepting new patients

Locations

101 Riverfront Blvd
Ste 710
Bradenton, FL 34205

300 Riverside Dr E
Ste 1500
Bradenton, FL 34208
Phone (941) 405-1170

300 Riverside Dr E
Ste 3300
Bradenton, FL 34208
Phone (941) 405-1170

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Interoperability endpoints

  • Direct secure messaging: elizabeth.knight.2@11352.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1841838653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 710",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058812",
            "telephone_number": "941-776-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RIVERSIDE DR E STE 1500",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081031",
            "telephone_number": "941-741-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1095 Pinellas Point Dr S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337056154",
            "country_code": "US",
            "telephone_number": "727-867-1131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "ELIZABETH",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11005314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "eknight@wservices.org",
            "affiliation": "N",
            "address_1": "1095 Pinellas Point Dr S",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337056154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "eknight@wservices.org",
            "affiliation": "N",
            "address_1": "1095 Pinellas Point Dr S",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337056154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.