Robin Knuttel, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G066876 Issued in CA

Practice address

181 Andrieux Street
Suite 103
Sonoma, CA 95476

Phone

(707) 938-9880

Fax

(707) 938-9879

NPI assigned

Oct 6, 2006

Last updated

May 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1922195387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1387",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954761387",
            "telephone_number": "707-938-9880",
            "fax_number": "707-938-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 ANDRIEUX STREET",
            "address_2": "SUITE 103",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "95476",
            "telephone_number": "707-938-9880",
            "fax_number": "707-938-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTTEL",
        "first_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G066876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth King, MD
• Richard F. H. Kirk, M.D.
• Irvin Bruce Kirschbaum, C.M.T.
• Stephen Kiser, DPT
• Daniel Lee Kittleson, D.D.S.
• Robert K Koida, M.D.
• Rowena K Korobkin, MD
• David Francis Kosnick, MD
• Marianne Louise Kramer, MD
• Jonathan Isaac Austin Krauss Sr., LPT

• Dermatology Physician in Sonoma, CA
• Providers in Sonoma, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.

Verify at the official NPI Registry.