Kathleen Knacke, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

288654 Issued in NY

Practice address

200 Howells Rd
Bay Shore, NY 11706-5351

Phone

(631) 665-5906

NPI assigned

Nov 19, 2009

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

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": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1891023446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ADAMS PL",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951810",
            "telephone_number": "631-539-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOWELLS RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065351",
            "telephone_number": "631-665-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNACKE",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "288654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michal Klepadlo, DO
• Brenda Joyce Klingel, RN
• Allan Jay Klinger, M.D.
• Helena Kliphuis, LCSW-R
• Lori Kloiber-Staco, OTR, CHT
• Tashay Knight
• Margarete Grace Knudsen, MD
• Danielle Knuppel, NP
• Nancy R Ko, RPAC
• Julia Rose Koebert, PA-C

• Licensed Practical Nurse in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.