MEDICARE: MELANIE JEANNE MCKNIGHT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	07577R	LA
2	207RN0300X	Nephrology Physician	07577R	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1073546149	OTHER	LA	NPI

General Provider Information

NPI Number	:	1073546149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE JEANNE MCKNIGHT M.D.

Provider Business Mailing Address
First Line	:	5959 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-6038
Country	:	US
Telephone Number	:	225-526-0011
Fax Number	:	225-765-9196

Provider Business Practice Location Address
First Line	:	7777 HENNESSY BLVD STE 409
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-4365
Country	:	US
Telephone Number	:	225-765-5864
Fax Number	:	225-765-2013

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	05/26/2022

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Directions to “ MELANIE JEANNE MCKNIGHT M.D.” Practice Location

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