Carly Jean Knapp, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY00003487 Issued in WA

Practice address

33515 10TH PL S
BLDG. #16
Federal Way, WA 98003-7300

Phone

(253) 838-5420

Fax

(253) 838-5421

NPI assigned

Nov 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 WA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871660563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33515 10TH PL S",
            "address_2": "BLDG. #16",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037300",
            "telephone_number": "253-838-5420",
            "fax_number": "253-838-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33515 10TH PL S",
            "address_2": "BLDG. #16",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037300",
            "telephone_number": "253-838-5420",
            "fax_number": "253-838-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "CARLY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00003487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Leigh Klippert Fajardo, D.O.
• Deborah Kloby, D.C.
• Jay Kloby, MD
• Daniel John Klocke, RD
• Lauren Kmiechick
• Cari Knight, LMP
• Robynne Knight, L.AC, EAMP
• Lindsey Knights
• Anna Koback
• Richard L Koch, DDS

• Psychologist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.