Knezyk Pennington Limerick, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1055944 Issued in TX

Practice address

3919 Fry Rd
Katy, TX 77449-6731

Phone

(281) 646-2273

NPI assigned

Apr 18, 2023

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

Other names 1

• Knezyk Pennington Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Family Care Plus Clinic, PA

  • Family Medicine Physician
  • Katy, TX
  • NPI 1912086190

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1942997275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22922 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501412",
            "telephone_number": "214-726-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 FRY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496731",
            "telephone_number": "281-646-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMERICK",
        "first_name": "KNEZYK",
        "middle_name": "PENNINGTON",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1055944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KNEZYK",
            "last_name": "PENNINGTON",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maranatha Liga, LCSW
• McKenna Nicole Light, RBT, CPR
• Randall M Lim
• Vicky Li-Ching Lim, LPC-A
• Julie Lima, APRN
• Jesus Limones
• Aaron Jiunhan Lin, MD
• Chen Hsing Lin, M.D.
• Cindy Lin, PA-C
• Dongming Lin, D.D.S., M.S., M.P.H.

• Family Nurse Practitioner in Katy, TX
• Providers in Katy, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.