1124046693 NPI number — CHRISTINE KNAPP MSW,CSW-PIP

Table of content: CHRISTINE KNAPP MSW,CSW-PIP (NPI 1124046693)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124046693 NPI number — CHRISTINE KNAPP MSW,CSW-PIP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KNAPP
Provider First Name:
CHRISTINE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSW,CSW-PIP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124046693
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2121 W 63RD PL
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
SIOUX FALLS
Provider Business Mailing Address State Name:
SD
Provider Business Mailing Address Postal Code:
57108-5058
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
605-373-9330
Provider Business Mailing Address Fax Number:
605-373-9218

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2121 W 63RD PL
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
SIOUX FALLS
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57108-5058
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-373-9330
Provider Business Practice Location Address Fax Number:
605-373-9218
Provider Enumeration Date:
07/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  1382 , registered in the state of SD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0004773 . This is a "WELLMARK BCBS" identifier , issued by the state of ( SD ) . This identifiers is of the category "OTHER".
  • Identifier: 22158 . This is a "SIOUX VALLEY HEALTH PLAN" identifier , issued by the state of ( SD ) . This identifiers is of the category "OTHER".
  • Identifier: 4237 . This is a "AVERA HEALTH PLAN" identifier , issued by the state of ( SD ) . This identifiers is of the category "OTHER".
  • Identifier: 6570360 . This is a "SD MEDICAID" identifier , issued by the state of ( SD ) . This identifiers is of the category "OTHER".
  • Identifier: NP2850 . This is a "DAKOTACARE" identifier , issued by the state of ( SD ) . This identifiers is of the category "OTHER".




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