Debora Jean Knowles

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

00036172 Issued in WA

Practice address

16715 Aurora Ave N # 102
Shoreline, WA 98133-5310

Phone

(206) 546-9766

NPI assigned

Nov 11, 2019

Last updated

Nov 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Therapeutic Health Services

  dba Shoreline Branch

  • Methadone Clinic
  • Shoreline, WA
  • NPI 1144312877
  NPD
• Therapeutic Health Services

  • Methadone Clinic
  • Shoreline, WA
  • NPI 1548606171
  NPD (past)

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1932744216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 122ND CT NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982589121",
            "telephone_number": "425-346-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16715 AURORA AVE N # 102",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335310",
            "telephone_number": "206-546-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "DEBORA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "00036172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "THS",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16715 Aurora Ave N # 102",
            "city": "Shoreline",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981335310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erik Nathaniel Kinzer, ARNP
• Becky Louise Kirschner-Henriot, L.M.P
• Kristi A Kiyonaga, M.D.
• Robert James Klem Jr., MD, MHA
• Ross Patrick Klingele, L.M.P.
• Kelli Kobelin
• Erin Kobs
• Kym Kolb
• Elizabeth Kong
• Alexander V Koryachek, LMT

• Licensed Practical Nurse in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.