Active NPI
Ebony Yvette McKnight, FNP-BC
- Family Nurse Practitioner
- Beverly Hills, CA
National Provider Identifier
1891063301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21723
- Practice address
- 415 N Crescent Dr Ste 140
Beverly Hills, CA 90210-4731 - Phone
- (310) 246-0702
- Fax
- (310) 246-0672
- NPI assigned
- Dec 12, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 606430 | NY | |
| Family Nurse Practitioner | 363LF0000X | 336952 | NY | |
| Family Nurse Practitioner | 363LF0000X | 21723 | CA | Primary |
Addresses
Primary practice location
415 N Crescent Dr Ste 140
Beverly Hills, CA 90210-4731
Mailing address
415 N Crescent Dr Ste 140
Beverly Hills, CA 90210-4731
Phone (310) 246-0702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 606430 | NY | MD | Registered Nurse |
| 21723 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385251200000",
"number": "1891063301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N CRESCENT DR STE 140",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104731",
"telephone_number": "310-246-0702",
"fax_number": "310-246-0672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N CRESCENT DR STE 140",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104731",
"telephone_number": "310-246-0702",
"fax_number": "310-246-0672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKNIGHT",
"first_name": "EBONY",
"middle_name": "YVETTE",
"name_prefix": "Miss",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-12",
"last_updated": "2013-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "606430",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "336952",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "21723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.