Kristen Grace Macaraeg Knowles

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

117361 Issued in KS

Practice address

958 N Lakeview Dr
Derby, KS 67037-1844

Phone

(316) 250-1669

NPI assigned

Oct 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1891576476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 N LAKEVIEW DR",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670371844",
            "telephone_number": "316-250-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 N LAKEVIEW DR",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670371844",
            "telephone_number": "316-250-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "KRISTEN GRACE",
        "middle_name": "MACARAEG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "KS",
            "license": "117361",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "117361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ty Kasper, LMFT
• Ashley Keefover, LMFT-T
• Ronald James Keller, CRNA
• Amy S Kelley, BSN,AAPS
• Katy Kitterman
• James A Koch, OT
• Cassity J Kolterman, PTA
• Kenneth Joseph Kooser, LMFT 03643-T
• Shonda L Kooser, T-MFT 03519-T
• Heather Korntheuer, CPTA

• All providers in Derby, KS
• Registered Nurse in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.