Provider Demographics
NPI:1700959400
Name:KNOTT, BARBARA WHITAKER (NP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:WHITAKER
Last Name:KNOTT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:W
Other - Last Name:KNOTT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:22135 BUESCHER RD
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-3775
Mailing Address - Country:US
Mailing Address - Phone:346-246-5040
Mailing Address - Fax:
Practice Address - Street 1:22135 1/2 BUESCHER RD
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377
Practice Address - Country:US
Practice Address - Phone:346-246-5040
Practice Address - Fax:800-846-0146
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP113248363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00924642OtherMEDICARE RAILROAD
TX177710403Medicaid
TX177710403Medicaid