Shaunyetta Conyelle Knight, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R160071 Issued in MD

Practice address

504 Lewis St
Havre de Grace, MD 21078-3420

Phone

(443) 502-5311

NPI assigned

Jun 7, 2019

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

Enrolled in MD

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

MD Family Care LLCGroup PAC ID 2769762954, 2 clinicians

Sherif H. Osman, M.D., P.a.Group PAC ID 6406887744, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sbourne921835@direct.umm.edu

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.

• MD Family Care LLC

  • Family Medicine Physician
  • Havre de Grace, MD
  • NPI 1316315088
  Medicare reassignment Care Compare group NPD
• Sherif H. Osman, M.D., P.a.

  • Internal Medicine Physician
  • Bel Air, MD
  • NPI 1679769145
  Medicare reassignment Care Compare group NPD
• MD Immediate Care LLC

  • Urgent Care Clinic/Center
  • Havre de Grace, MD
  • NPI 1770824195
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upper Chesapeake Medical Center, Inc.

  • General Acute Care Hospital
  • Bel Air, MD
  • NPI 1598761355
  Care Compare affiliation

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1871152371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 LEWIS ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783420",
            "telephone_number": "443-502-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 LEWIS ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783420",
            "telephone_number": "443-502-5311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Upper Chesapeake Dr Ste 211",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210144392",
            "country_code": "US",
            "telephone_number": "410-638-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "SHAUNYETTA",
        "middle_name": "CONYELLE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R160071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Daewon Kim, DDS
• Sung Bai Kim, M.D.
• Brianna A Kirk
• David J Kitchen, CRNP
• Laura Michelle Kivlen, DPT
• Kohli LLC
• Sujatha Kotaru
• Michelle Grassa Kozak, LCPC
• Jenell Kronick, RBT
• Faith Ku, RPH

• Family Nurse Practitioner in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.

Verify at the official NPI Registry.