Individual provider Active NPI

Erin June Knowlton

  • Psychiatric/Mental Health Nurse Practitioner
  • York, PA
National Provider Identifier
1902563836
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP024941 Issued in PA
Practice address
2217 Carlisle Rd Ste 403
York, PA 17408-4000
Phone
(717) 219-4202
Fax
(717) 680-6799
NPI assigned
Nov 27, 2021
Last updated
May 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP024941 PA Primary

Addresses

Primary practice location

2217 Carlisle Rd Ste 403
York, PA 17408-4000

Mailing address

2217 Carlisle Rd Ste 403
York, PA 17408-4000
Phone (717) 219-4202

Other practice location 1

2380 Sprenkle Ct
York, PA 17408-4398
Phone (717) 880-4364

Other practice location 2

4480 S Salem Church Rd
Dover, PA 17315-3432
Phone (717) 219-4202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2025 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP024941PAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1637971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1902563836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 CARLISLE RD STE 403",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174084000",
            "telephone_number": "717-219-4202",
            "fax_number": "717-680-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 CARLISLE RD STE 403",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174084000",
            "telephone_number": "717-219-4202",
            "fax_number": "717-680-6799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2380 Sprenkle Ct",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174084398",
            "country_code": "US",
            "telephone_number": "717-880-4364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4480 S Salem Church Rd",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "PA",
            "postal_code": "173153432",
            "country_code": "US",
            "telephone_number": "717-219-4202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOWLTON",
        "first_name": "ERIN",
        "middle_name": "JUNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-27",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP024941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.