Individual provider Active NPI

Iris Yvette Knighten, 01-048495

  • Addiction (Substance Use Disorder) Counselor
  • Gardena, CA
National Provider Identifier
1902196496
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
16914 S. Berendo Ave # B
Gardena, CA 90247
Phone
(424) 646-0899
NPI assigned
Apr 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

16914 S. Berendo Ave # B
Gardena, CA 90247

Mailing address

16914 S Berendo Ave # B
Gardena, CA 90247-5516
Phone (424) 646-0899

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1902196496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16914 S BERENDO AVE # B",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902475516",
            "telephone_number": "424-646-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16914 S. BERENDO AVE # B",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90247",
            "telephone_number": "424-646-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHTEN",
        "first_name": "IRIS",
        "middle_name": "YVETTE",
        "name_prefix": "Ms.",
        "credential": "01-048495",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.