Provider Demographics
NPI:1730570631
Name:KNOPF, REBECCA E (FNP-C)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:E
Last Name:KNOPF
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 HYANNIS DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-8336
Mailing Address - Country:US
Mailing Address - Phone:919-363-8666
Mailing Address - Fax:919-363-8668
Practice Address - Street 1:107 HYANNIS DR
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-8336
Practice Address - Country:US
Practice Address - Phone:919-363-8666
Practice Address - Fax:919-363-8668
Is Sole Proprietor?:No
Enumeration Date:2015-02-12
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5018104363L00000X, 363LP2300X, 363LF0000X
OHCOA.16827-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1881987691OtherTRICITY FAMILY MEDICINE BCBS COMMERCIAL GROUP NPI
OH0091231OtherPARTNERS PHYSICIAN GROUP MEDICAID GROUP # - URGENT CARES
OH1992138028OtherPARTNERS PHYSICIAN GROUP TYPE 2 NPI # - URGENT CARES
OH0119577Medicaid
NC5018104OtherLICENSE
NC1457531790OtherTRICITY FAMILY MEDICINE GROUP NPI
OH9338635OtherPARTNERS PHYSICIAN GROUP MEDICARE GROUP #