Diance T Knupp, CCC,SPL

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

002686-1 Issued in NY

Practice address

180 Washington Avenue Ext
Albany, NY 12203-5347

Phone

(518) 456-7831

Fax

(518) 456-1563

NPI assigned

Feb 2, 2007

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942348800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 WASHINGTON AVENUE EXT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035347",
            "telephone_number": "518-456-7831",
            "fax_number": "518-456-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WASHINGTON AVENUE EXT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035347",
            "telephone_number": "518-456-7831",
            "fax_number": "518-456-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUPP",
        "first_name": "DIANCE",
        "middle_name": "T",
        "credential": "CCC,SPL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "002686-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10001083",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF NENY",
            "identifier": "000491034001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00310361",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Marion Knightes, LCSW
• Ashley Knowles, CCC-SLP
• Awen Knowles, PSY.D.
• R. Martin Knowlton, RPA
• Jennifer Lynn Knox, PT, DPT
• Emily Knuth, M.D., PH.D.
• Jennifer Jaye Knuth, MD
• Sarah Beth Koblick
• Rebecca Kobos, M.D.
• Margaret Ellen Koelmel, CRNA

• Speech-Language Pathologist in Albany, NY
• Providers in Albany, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.