Albina Knight, FNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Wauconda, IL
NPI 1912371907 · NPPES record last updated Apr 19, 2024
Key facts
- NPI
- 1912371907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 209.013565 (IL)
- Practice address
- 431 W Liberty St
Wauconda, IL 60084-2452 - Phone
- (847) 526-2151
- Fax
- (847) 526-2017
- NPI assigned
- Nov 14, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151207001403 | IL | Practitioner - Nurse Practitioner | 0941500441 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.013565 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Lining Care LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
1020 Milwaukee Ave
Ste 229
Deerfield, IL 60015
Phone (847) 767-0552
3100 Dundee Rd
Ste 902
Northbrook, IL 60062
Phone (847) 443-1010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209.013565 | IL | Yes |
| Family Nurse Practitioner | 363LF0000X | 209.013565 | IL |
Addresses
Primary practice location
431 W Liberty St
Wauconda, IL 60084-2452
Mailing address
PO Box 6037
Wauconda, IL 60084-6037
Phone (847) 526-2151
Other names
- Albina Knight
NPI Registry JSON
{
"created_epoch": "1447459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1912371907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6037",
"city": "WAUCONDA",
"state": "IL",
"postal_code": "600846037",
"telephone_number": "847-526-2151",
"fax_number": "847-526-2017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 W LIBERTY ST",
"city": "WAUCONDA",
"state": "IL",
"postal_code": "600842452",
"telephone_number": "847-526-2151",
"fax_number": "847-526-2017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "ALBINA",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-14",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209.013565",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.013565",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALBINA",
"last_name": "KNIGHT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wauconda, IL
- Caitlin Karam Kim
- Timothy David Kimes
- Jessica Kinder
- Beth Ann Kirby
- Lynn Ann Klamerus
- Warren G Kruckmeyer
- Shane Mason Krummick
- Marguerite Ann Kuthe
- James P Lake
- Rebecca Lambo
All providers in Wauconda, IL · Psychiatric/Mental Health Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.