DAVID KNIOLA CRNP LLC (NPI# 1114267739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114267739 |
| Entity Type | Organization |
| Organization Name | DAVID KNIOLA CRNP LLC |
| Practice Address |
825 Woods Ferry Rd Lincoln AL 35096-5874 |
| Practice Telephone | 2563759127 |
| Practice Fax Number | 6153480109 |
| Mailing Telephone | 2563759127 |
| Mailing Fax Number | 6153480109 |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-19 |
| Authorized Official Name | DAVID KNIOLA (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2563759127 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 1-068065 | AL | Nursing & Custodial Care Facilities |
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 1-068065 | AL | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 1-068065 | AL | Nursing & Custodial Care Facilities |
| Street Address |
825 WOODS FERRY RD |
| City | LINCOLN |
| State | AL |
| Zip Code | 35096-5874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962959874 | Crystal Renee Rogers | Nurse Practitioner | 1800 Honda Drive, Talladega, AL 35096 | 2016-09-08 |
| 1508096199 | Emily Ruth Webster | Behavioral Analyst | 140 Joe St, Lincoln, AL 35096 | 2009-07-17 |
| 1952433872 | Amanad Divine | Pharmacist | 99 Magnolia South, Lincoln, AL 35096 | 2007-03-09 |
| 1396826939 | Freds Stores of Tennessee Inc | Pharmacy | 47950 Us Hwy 78, Lincoln, AL 35096 | 2006-10-18 |
| 1699704197 | April L Ponder | Family Medicine | 1100 Patton Chapel Rd, Lincoln, AL 35096 | 2006-06-30 |
| 1023047529 | Mark E Ponder | Family Medicine | 1100 Patton Chapel Rd, Lincoln, AL 35096 | 2006-06-30 |
| 1780752402 | Lincoln Ems | Ambulance | 82 Mclain Ave, Lincoln, AL 35096-0172 | 2006-12-01 |
| 1043227044 | Lincoln Pharmacy Inc | Pharmacy | 99 Magnolia St S, Lincoln, AL 35096-0200 | 2006-08-02 |
| 1477105583 | Tishunna Carter | Technician, Pathology | 409 Howard Cir, Lincoln, AL 35096-3551 | 2019-07-10 |
| 1861980823 | Melodie Dawn Crawford | Counselor | 325 Eastland Dr, Lincoln, AL 35096-4061 | 2018-04-25 |
| Find all providers in zip 35096 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013434703 | Snf Lincoln Operating Company LLC | Skilled Nursing Facility | 5431 S 16th St, Lincoln, NE 68512-1206 | 2017-08-24 |
| 1518491976 | Hillcrest Firethorn, LLC | Skilled Nursing Facility | 8601 Firethorn Lane, Lincoln, NE 68520 | 2017-04-12 |
| 1710359161 | Bsl- Bn Commons Snf Operator LLC | Skilled Nursing Facility | 3 Harvest Cir, Lincoln, MA 01773-3214 | 2015-10-26 |
| 1437546033 | Tabitha Inc | Skilled Nursing Facility | 3355 Orwell St, Lincoln, NE 68516-6624 | 2015-04-21 |
| 1205226552 | Bonnilee Anne Tyrrell | Skilled Nursing Facility | 7208 Van Dorn St, Lincoln, NE 68506-3651 | 2015-01-26 |
| 1073902128 | Laci Harper | Skilled Nursing Facility | 4800 Lonewood Dr, Lincoln, NE 68516-1464 | 2015-01-13 |
| 1477965234 | Amanda Stamm | Skilled Nursing Facility | 6040 S 58th St Ste C, Lincoln, NE 68516-3695 | 2014-05-28 |
| 1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
| 1306174990 | Autumn Research | Skilled Nursing Facility | 5b S Commons, Lincoln, MA 01773-1114 | 2009-11-19 |
| 1740432517 | Kimberly Lizotte | Skilled Nursing Facility | 642 River Rd, Lincoln, RI 02865-1406 | 2008-10-10 |
| Find all providers in LINCOLN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.