Active NPI
Janessa Knight
- Specialist
- Waverly, OH
National Provider Identifier
1912344920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 201150097
- Practice address
- 205 Maplewood Ave
Waverly, OH 45690-1630 - Phone
- (740) 970-5150
- NPI assigned
- May 30, 2013
- Last updated
- May 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 201150097 | KY | Primary |
Addresses
Primary practice location
205 Maplewood Ave
Waverly, OH 45690-1630
Mailing address
205 Maplewood Ave
Waverly, OH 45690-1630
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201150097 | KY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1912344920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 MAPLEWOOD AVE",
"city": "WAVERLY",
"state": "OH",
"postal_code": "456901630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 MAPLEWOOD AVE",
"city": "WAVERLY",
"state": "OH",
"postal_code": "456901630",
"telephone_number": "740-970-5150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "JANESSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-30",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": "201150097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waverly, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.