Individual provider Active NPI

Daniel B Knight, N.P.

  • Family Nurse Practitioner
  • Ash Fork, AZ
National Provider Identifier
1932173127
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP2115 Issued in AZ
Practice address
112 W. Park Ave
Ash Fork, AZ 86320
Phone
(855) 277-5901
Fax
(833) 731-0353
NPI assigned
Feb 14, 2006
Last updated
May 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP2115 AZ Primary
Primary Care Nurse Practitioner 363LP2300X RN103251 AZ

Addresses

Primary practice location

112 W. Park Ave
Ash Fork, AZ 86320

Mailing address

419 S 3Rd St
Williams, AZ 86046-2448
Phone (855) 277-5901

Other identifiers 2

IdentifierTypeStateIssuer
AP2115OtherAZFNP CERTIFICATE
RN103251OtherAZRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050727000571 AZ Practitioner - Nurse Practitioner 8820026396
I20201105001602 AZ Practitioner - Nurse Practitioner 8820026396 Practice locations: Williams, AZ
I20240729001991 OR Practitioner - Nurse Practitioner 8820026396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Waterfall Clinic IncorporatedGroup PAC ID 5698740355, 16 clinicians

Practice addresses (Care Compare)

1890 Waite St
North Bend, OR 97459-1229
Phone (541) 435-7033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP2115AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Healthcare, Inc. Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Oct 1, 2012 Accepting new patients
Daniel Knight Family CurrentSince Jul 8, 2020 Accepting new patients
Waterfall Clinic, Incorporated CurrentSince Aug 25, 2024 Accepting new patients
Waterfall Clinic, Incorporated CurrentSince Aug 25, 2024 Accepting new patients
Waterfall Clinic Incorporated Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Oct 1, 2012 Accepting new patients
Triad Clinic PLLC Family PastSince Jun 1, 2010 Accepting new patients
Ipn of Arizona, PLC Past Accepting new patients
North Country Healthcare, Inc. Past Accepting new patients
Arizona State University Past Accepting new patients

Locations

2585 Miracle Mile
Ste 116
Bullhead City, AZ 86442
Phone (928) 219-3300

2500 N Rose St
Flagstaff, AZ 86004
Phone (928) 213-6121

2920 N 4th St
Flagstaff, AZ 86004
Phone (928) 213-6100

2109 Navajo Blvd
Holbrook, AZ 86025
Phone (928) 213-6100

1510 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 753-1177

2090 Smoketree Ave N
Lk Havasu Cty, AZ 86403
Phone (928) 854-1800

2650 E Show Low Lake Rd
Ste 1
Show Low, AZ 85901
Phone (928) 537-4300

488 S Mountain Ave
Springerville, AZ 85938
Phone (928) 333-0127

300 S 6th St
Williams, AZ 86046
Phone (928) 635-4441

301 S 7th St
Williams, AZ 86046
Phone (928) 607-7227

620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700

1890 Waite St
Ste 1
North Bend, OR 97459
Phone (541) 435-7033

Interoperability endpoints

  • Direct secure messaging: dknight711769@direct.ochin.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1932173127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S 3RD ST",
            "city": "WILLIAMS",
            "state": "AZ",
            "postal_code": "860462448",
            "telephone_number": "855-277-5901",
            "fax_number": "833-731-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W. PARK AVE",
            "city": "ASH FORK",
            "state": "AZ",
            "postal_code": "86320",
            "telephone_number": "855-277-5901",
            "fax_number": "833-731-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "DANIEL",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2115",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "RN103251",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP CERTIFICATE",
            "identifier": "AP2115",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN103251",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ash Fork, AZ

Sources for this page

Verify at the official NPI Registry.