MS. PAIGE ANNE KNIPPENBERG (NPI# 1518494731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518494731 |
| Entity Type | Individual |
| Full Name | MS. PAIGE ANNE KNIPPENBERG |
| Credential | PA-C |
| Practice Address |
1604 Hospital Pkwy Ste 200 Bedford TX 76022-6930 |
| Practice Telephone | 8178484485 |
| Practice Fax Number | 8178484490 |
| Mailing Telephone | 8178484485 |
| Mailing Fax Number | 8178484490 |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2019-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA11051 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LICENSE | PA11051 | 01 |
| Street Address |
1604 HOSPITAL PKWY STE 200 |
| City | BEDFORD |
| State | TX |
| Zip Code | 76022-6930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982604427 | Valery N Lipenko | Psychiatry & Neurology | 1604 Hospital Pkwy Ste 200, Bedford, TX 76022-6930 | 2005-07-27 |
| 1164559589 | Kimberley Dalton Chitko | Nurse Practitioner | 1604 Hospital Pkwy Ste 200, Bedford, TX 76022 | 2007-02-27 |
| 1336124429 | Husam H Alkhersam | Psychiatry & Neurology | 1604 Hospital Pkwy Ste 200, Bedford, TX 76022-6930 | 2005-12-12 |
| 1699750836 | Stephen C Hurlbut | Psychiatry & Neurology | 1604 Hospital Pkwy Ste 200, Bedford, TX 76022-6930 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155754 | Jacquelyn H Holloway | Registered Nurse | 820 Uptown Blvd, Bedrord, TX 76022 | 2020-08-18 |
| 1861972556 | Red Diamond Medical Group Pllc | Internal Medicine | 2700 Tibbets Dr # 301, Bedford, TX 76022 | 2018-08-21 |
| 1649761958 | Florine Karimi Mati | Behavioral Analyst | 1413 Tennis Dr, Bedford, TX 76022 | 2018-05-22 |
| 1760836704 | Healing Hands Senior Care Service | Technician | 1152 High Point Rd., Bedford, TX 76022 | 2016-04-15 |
| 1972965283 | Emily Vandoren | Physical Therapist | 1705 Forest Ridge Drive, Bedford, TX 76022 | 2016-03-25 |
| 1396123949 | Decorla Holmes | Adult Companion | 1152 Highpoint Rd., Bedford, TX 76022 | 2015-05-15 |
| 1629409198 | Susan Yvonne Pelletier | Durable Medical Equipment & Medical Supplies | 1600 Central Drive, Suite 157, Bedford, TX 76022 | 2013-12-09 |
| 1649565953 | Alisa Thamwiwat | Internal Medicine | 1604 Hospital Pkwy Ste 301, Bedford, TX 76022 | 2011-06-15 |
| 1528227576 | Ft. Worth Home Care Inc | Home Health | 1600 Airport Freeway, Suite 503, Bedford, TX 76022 | 2008-06-05 |
| 1225242886 | Bedford Family Medicine, Pa | Family Medicine | 1701 Forest Ridge Dr., Bedford, TX 76022 | 2007-05-10 |
| Find all providers in zip 76022 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538650650 | Bluestone Healthcare Services L.L.C. | Physician Assistant | Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 | 2018-05-24 |
| 1336652833 | Alyssa Ilg | Physician Assistant | 1615 Hospital Pkwy Ste 306, Bedford, TX 76022-5936 | 2017-11-07 |
| 1023334562 | Joseph Mangum | Physician Assistant | 5 Washington Place, Suite 1b, Bedford, NH 03110 | 2010-04-08 |
| 1033358759 | Christopher G. Carter | Physician Assistant | 7 Pinewood Ter, Bedford, NH 03110-5537 | 2009-02-19 |
| 1851416986 | Deanne Marie Chapman | Physician Assistant | 20 Washington Pl Fl 2, Bedford, NH 03110-6706 | 2007-03-20 |
| 1780736777 | Ronald E Ochoa | Physician Assistant | 88 Center Rd Ste 360, Bedford, OH 44146-2711 | 2007-01-18 |
| 1811937113 | Leah Ann Franks | Physician Assistant | 1368 American Way, Bedford, VA 24523-2940 | 2006-06-07 |
| 1326006834 | Michael G Clark | Physician Assistant | 1305 Airport Fwy Ste 305, Bedford, TX 76021-6604 | 2006-05-03 |
| 1740265560 | Kirstin Dawn Pickens | Physician Assistant | 2425 Hwy 121, Bedford, TX 76021 | 2005-12-14 |
| 1861053241 | Morgan Copeland | Physician Assistant | 1701 Park Place Ave, Bedford, TX 76022-6033 | 2019-06-26 |
| Find all providers in BEDFORD | ||||
Please comment or provide details below to improve the information on MS. PAIGE ANNE KNIPPENBERG.
| 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.