Individual provider Active NPI

Hallie H. McKnight, CRNP

  • Nurse Practitioner
  • Gadsden, AL
National Provider Identifier
1881987790
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-087268 Issued in AL
Practice address
1007 Goodyear Ave
Gadsden, AL 35903-1195
Phone
(256) 492-8250
Fax
(256) 492-8271
NPI assigned
May 25, 2011
Last updated
May 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-087268 AL Primary

Addresses

Primary practice location

1007 Goodyear Ave
Gadsden, AL 35903-1195

Mailing address

1026 Goodyear Ave
Suite 100
Gadsden, AL 35903-1102
Phone (256) 492-8250

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20110629000631 AL Practitioner - Nurse Practitioner 7416135066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Immediate Care, LLCGroup PAC ID 6103114087, 46 clinicians

Practice addresses (Care Compare)

4100 McClellan Blvd
Anniston, AL 36201-2132
Phone (256) 235-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-087268ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Immediate Care, LLC CurrentSince Jul 9, 2018 Accepting new patients
Keel and Associates CurrentSince Jul 9, 2018 Accepting new patients
Allergy Associates, Inc Past Accepting new patients

Locations

4100 McClellan Blvd
Anniston, AL 36201
Phone (256) 235-2273

956 Gilbert Ferry Rd SE
Attalla, AL 35954
Phone (256) 344-0065

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1881987790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 GOODYEAR AVE",
            "address_2": "SUITE 100",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031102",
            "telephone_number": "256-492-8250",
            "fax_number": "256-492-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031195",
            "telephone_number": "256-492-8250",
            "fax_number": "256-492-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "HALLIE",
        "middle_name": "H.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-087268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.