Individual provider Active NPI

Lynmarie Knight, APRN

  • Family Nurse Practitioner
  • Berkeley, CA
National Provider Identifier
1942728118
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95009487 Issued in CA
Practice address
837 Addison St.
Berkeley, CA 94710
Phone
(510) 981-4100
Fax
(510) 981-4294
NPI assigned
Sep 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95009487 CA Primary

Addresses

Primary practice location

837 Addison St.
Berkeley, CA 94710

Mailing address

1015 Hearst Ave
Berkeley, CA 94710-2112
Phone (510) 570-6695

Other practice location 1

1515 Scott St Ste 1
San Francisco, CA 94115-3511
Phone (415) 502-8800

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181004003090 CA Practitioner - Nurse Practitioner 1759633530 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95009487CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelong Medical Care CurrentSince Aug 6, 2018 Accepting new patients
Lifelong Medical Care CurrentSince Aug 6, 2018 Accepting new patients
Regents of the University of California Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
University of California San Francisco Past Accepting new patients
UCSF Medical Group Business Services Past Accepting new patients

Locations

2031 6th St
Berkeley, CA 94710
Phone (510) 981-4200

2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203

10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1942728118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 HEARST AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947102112",
            "telephone_number": "510-570-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 ADDISON ST.",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94710",
            "telephone_number": "510-981-4100",
            "fax_number": "510-981-4294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Scott St Ste 1",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941153511",
            "country_code": "US",
            "telephone_number": "415-502-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "LYNMARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2021-08-17",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.