Healthcare Provider Details

I. General information

NPI: 1902724529
Provider Name (Legal Business Name): SHANTE KNIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9135 PISCATAWAY RD
CLINTON MD
20735-2549
US

IV. Provider business mailing address

9135 PISCATAWAY RD
CLINTON MD
20735-2549
US

V. Phone/Fax

Practice location:
  • Phone: 240-253-3898
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: