Provider Demographics
NPI:1386835718
Name:KNIGHT, MELANIE ALANE (APRN/NP)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:ALANE
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:APRN/NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24006 W 80TH PL
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66227-2201
Mailing Address - Country:US
Mailing Address - Phone:913-745-4358
Mailing Address - Fax:
Practice Address - Street 1:20375 W 151ST ST STE 370
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-7207
Practice Address - Country:US
Practice Address - Phone:913-782-0707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1373230121163WR0006X
KS75077363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant