Provider Demographics
NPI:1669418349
Name:KNIGHT, JAMES (APN)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 E 8TH AVE
Mailing Address - Street 2:SUITE N203
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-5708
Mailing Address - Country:US
Mailing Address - Phone:970-247-0640
Mailing Address - Fax:877-543-5916
Practice Address - Street 1:270 E 8TH AVE
Practice Address - Street 2:SUITE N203
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5708
Practice Address - Country:US
Practice Address - Phone:970-247-0640
Practice Address - Fax:877-543-5916
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO123256364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO438588Medicare ID - Type Unspecified
COP35967Medicare UPIN