Connie Lou Knowlton, RN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R103111 Issued in SC

Practice address

14830 Choate Circle
Charlotte, NC 28273

Phone

(704) 587-1415

Fax

(704) 587-1554

NPI assigned

Mar 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sim USA, Incorporated

  • Voluntary or Charitable Agency
  • Charlotte, NC
  • NPI 1376556522
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891813879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7900",
            "address_2": "14830 CHOATE CIRCLE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282417900",
            "telephone_number": "704-587-1415",
            "fax_number": "704-587-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14830 CHOATE CIRCLE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28273",
            "telephone_number": "704-587-1415",
            "fax_number": "704-587-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLTON",
        "first_name": "CONNIE",
        "middle_name": "LOU",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "R103111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIM USA INC NPI",
            "identifier": "1376556522",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Knovich, MD
• Emediong Enyong Knowlden, CRNA
• Allison Russell Knowles, PA-C
• Brianna C Knowles
• Karen P. Knowles, M.D.
• Allison Petrilli Knox, PA-C
• Belinda Brice Knox
• Brianna Janai Knox, LCSW
• Charity Faye Knox, LCSW
• Iris Willow Knox

• Family Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Medicine Physician in North Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.