Destini Dawn Knotts

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

877453 Issued in TX

Practice address

602 Laurel Rd
Athens, TX 75751-3302

Phone

(903) 221-3901

Fax

(903) 221-3901

NPI assigned

Feb 21, 2018

Last updated

Feb 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1851892350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 LAUREL RD",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513302",
            "telephone_number": "903-221-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 LAUREL RD",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513302",
            "telephone_number": "903-221-3901",
            "fax_number": "903-221-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOTTS",
        "first_name": "DESTINI",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "877453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Jones, FNP-C
• Morghan Jungman, PTA
• Kelechi Eye Associates LLC (Athens Family Eye Care)
• Dana Kennedy, CPNP-PC
• Heather A King, PTA
• Bruce Edward Kocian, RPH
• Steven M Koerth, M.D.
• Kristopher Ryan Kohout
• Lab Direct, LLC
• Lakeland Medical Associates

• Registered Nurse in Athens, TX
• Providers in Athens, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.