Provider Demographics
NPI:1679858930
Name:KNIGHT, SARAH DAWN (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:DAWN
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 GREAT TEAYS BLVD
Mailing Address - Street 2:STE 6
Mailing Address - City:SCOTT DEPOT
Mailing Address - State:WV
Mailing Address - Zip Code:25560-9815
Mailing Address - Country:US
Mailing Address - Phone:304-757-6999
Mailing Address - Fax:
Practice Address - Street 1:116 HILLS PLZ
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25387-2438
Practice Address - Country:US
Practice Address - Phone:304-720-4466
Practice Address - Fax:304-720-4821
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2011008868363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1679858930Medicaid
WVP01281169OtherRR MEDICARE
WV3810022653Medicaid
WVWV1331B859Medicare PIN
WV3810022653Medicaid
WVWV4664DMedicare PIN
WVWV1331FMedicare PIN
WVWV1331GMedicare PIN
WVP01281169OtherRR MEDICARE
WVWV1331EMedicare PIN
WVWV1331B279Medicare PIN