Individual provider Active NPI

Virginia Alica Knaack, PCA

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1851867295
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
6950 Kepler Dr Apt a
Las Vegas, NV 89156-6096
Phone
(310) 406-5211
NPI assigned
Oct 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X NV Primary

Addresses

Primary practice location

6950 Kepler Dr Apt a
Las Vegas, NV 89156-6096

Mailing address

1812 Fulstone Way Apt 1
Las Vegas, NV 89115-6642
Phone (702) 504-2473

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

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1851867295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 FULSTONE WAY APT 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891156642",
            "telephone_number": "702-504-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 KEPLER DR APT A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891566096",
            "telephone_number": "310-406-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAACK",
        "first_name": "VIRGINIA",
        "middle_name": "ALICA",
        "credential": "PCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.