NPI Code Detail JSON Logo

1437365608 NPI number — BERYL D KNAUTH CDP

NPI Number: 1437365608
Health Care Provider/Practitioner: BERYL D KNAUTH CDP

Information about “1437365608” NPI (BERYL D KNAUTH CDP) exists in 1437365608 in HTML format HTML  |  1437365608 in plain Text format TXT  |  1437365608 in PDF (Portable Document Format) PDF  |  1437365608 in an XML format XML  formats.

NPI Number : 1437365608 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437365608",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KNAUTH",
    "FirstName": "BERYL",
    "MiddleName": "D",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CDP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1800 112TH AVE NE",
    "SecondLineMailingAddress": "STE 150",
    "MailingAddressCityName": "BELLEVUE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98004-2993",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "425-646-7279",
    "MailingAddressFaxNumber": "425-646-7499",
    "FirstLinePracticeLocationAddress": "1800 112TH AVE NE",
    "SecondLinePracticeLocationAddress": "STE 150",
    "PracticeLocationAddressCityName": "BELLEVUE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98004-2993",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "425-646-7279",
    "PracticeLocationAddressFaxNumber": "425-646-7499",
    "EnumerationDate": "05/15/2007",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "RC00043724",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "CP00006133",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.