Kam Nelson-Knisley, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

36232 Issued in ID

Practice address

3288 E Pine Ave
Meridian, ID 83642-5922

Phone

(208) 888-8887

NPI assigned

Feb 13, 2018

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

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": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1962902361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10749 W REUTZEL DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837095029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 E PINE AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425922",
            "telephone_number": "208-888-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON-KNISLEY",
        "first_name": "KAM",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "ID",
            "license": "36232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Vision Inc
• Izzy Gray Natwick
• Arthur Travis Nease, PA-C
• Taylor Irene Neese, LMSW
• Cierra Nicole Neiwert, RDN
• Amber Nelson, MS
• Devin Nelson, PHARM D
• Eric Paul Cervin Nelson, D.D.S.
• Erin Nelson
• Naomi Nelson, LCSW

• Social Worker in Meridian, ID
• Providers in Meridian, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.