DEIDRA CASSANDRA KNAUTH (NPI# 1679139075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679139075 |
Entity Type | Individual |
Full Name | DEIDRA CASSANDRA KNAUTH |
Credential | FNP, RN |
Practice Address |
62 Hackett Blvd Ste 4 Albany NY 12209-1756 |
Mailing Address |
387 Madison Ave # 2f Albany NY 12210-1713 |
Practice Telephone | 5184342244 |
Mailing Telephone | 8455943136 |
Enumeration Date | 2019-05-13 |
Last Update Date | 2019-10-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 621039 | NY | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F344736-01 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
62 HACKETT BLVD STE 4 |
City | ALBANY |
State | NY |
Zip Code | 12209-1756 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356993968 | Shanta Ienee Pointer | Licensed Practical Nurse | 337 Second Avenue, Albany, NY 12209 | 2019-07-13 |
1396266011 | 24 Seven Medical Transportation Inc | Non-emergency Medical Transport (VAN) | 13 Beekman Street, Albany, NY 12209 | 2017-07-03 |
1255852554 | Taisha Dejesus | Taxi | 17 Oneida Terrance, Albany, NY 12209 | 2017-06-28 |
1205385218 | Shirley Jean Bolden | Licensed Practical Nurse | 3 Beekman St., Albany, NY 12209 | 2016-10-03 |
1285069492 | Chandra Wells | Speech-Language Pathologist | 33 Betwood St, Albany, NY 12209 | 2013-09-06 |
1790061406 | Olive Farooq | Registered Nurse | 100 Elbel Ct, Albany, NY 12209 | 2011-10-26 |
1982988184 | Susan Daniels | Social Worker | 100 Elbel Court, Myers Middle School, Albany, NY 12209 | 2011-10-06 |
1679725535 | Alyssa Catharine Lotmore | Social Worker | 102 Hackett Blvd., Albany, NY 12209 | 2008-10-22 |
1255497707 | Kimberly Ann Kilby | Family Medicine | 25 Hackett Blvd # Mc133, Albany, NY 12209 | 2006-12-29 |
1427158880 | Eckerd Corporation | Pharmacy | 493 Delaware Avenue, Albany, NY 12209 | 2006-09-25 |
Find all providers in zip 12209 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275131583 | Mfon Bassey | Nurse Practitioner | 14 N Manning Blvd Apt B-25, Albany, NY 12206-1963 | 2020-10-09 |
1245837194 | Thomas W Mansfield | Nurse Practitioner | 425 W 3rd Ave Ste 410, Albany, GA 31701-1954 | 2020-10-05 |
1770199408 | April Mccluster | Nurse Practitioner | 2753 Bettys Dr, Albany, GA 31705-9510 | 2020-09-17 |
1457967317 | Cynthia Ann Chaney | Nurse Practitioner | 4546 Lacosta Dr, Albany, GA 31721-9433 | 2020-09-16 |
1083223135 | Jamila Cruz | Nurse Practitioner | 1758 Philema Rd S, Albany, GA 31701-4781 | 2020-07-24 |
1083239313 | Danajoy Melissa Vincent | Nurse Practitioner | 416 Partridge Dr, Albany, GA 31707-3038 | 2020-06-12 |
1033744602 | Rodesia Ashanta Woodson | Nurse Practitioner | 2504 Devon Dr, Albany, GA 31721-2128 | 2020-03-04 |
1972156057 | Kristen Lynn Cook | Nurse Practitioner | 2601 Stuart Ave Ste 100, Albany, GA 31707-1664 | 2019-07-18 |
1255992046 | Jennifer Lieberman | Nurse Practitioner | 1365 Washington Ave Ste 100, Albany, NY 12206-1098 | 2019-06-24 |
1053976993 | Amanda Bylsma | Nurse Practitioner | 5 Palisades Dr Ste 200, Albany, NY 12205-6433 | 2019-05-07 |
Find all providers in ALBANY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.