Active NPI
Sarah L Knievel, MD
- Pain Medicine Physician
- Kingman, AZ
National Provider Identifier
1902008691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 0101250155
- Practice address
- 1712 Sycamore Ave
Kingman, AZ 86409-0927 - Phone
- (928) 681-8570
- Fax
- (928) 681-8569
- NPI assigned
- Jun 4, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 50035 | MN | |
| Pain Medicine Physician | 208VP0000X | 0101250155 | VA | Primary |
Addresses
Primary practice location
1712 Sycamore Ave
Kingman, AZ 86409-0927
Mailing address
1712 Sycamore Ave
Kingman, AZ 86409-0927
Phone (928) 681-8570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 833172000 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120917000158 | AZ | Practitioner - Interventional Pain Management | 7618068685 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingman Healthcare, Inc | Family Medicine | Current | Accepting new patients |
| Kingman Healthcare, Inc | Current | Accepting new patients |
Locations
1712 Sycamore Ave
Kingman, AZ 86409
Phone (928) 681-8570
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
3801 Santa Rosa Dr
Kingman, AZ 86401
Phone (928) 263-5000
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Kingman, AZ
- NPI 1992286298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355788800000",
"number": "1902008691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 SYCAMORE AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864090927",
"telephone_number": "928-681-8570",
"fax_number": "928-681-8569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 SYCAMORE AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864090927",
"telephone_number": "928-681-8570",
"fax_number": "928-681-8569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIEVEL",
"first_name": "SARAH",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2012-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MN",
"license": "50035",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "VA",
"license": "0101250155",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "833172000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.