Active NPIIndividual provider

Mr. Shannon B Knaggs, APRN

Pediatrics in New Haven, Connecticut

NPI Number1477575611
Practice location
1450 Chapel Street, New Haven, CT 06511
Fax
203-867-5534
Last updated
September 18, 2008

Shannon B Knaggs is a Pediatrics based in New Haven, CT. Shannon B Knaggs practices in New Haven, CT and has the professional credentials of APRN. The NPI Number for Shannon B Knaggs is 1477575611 and holds a License No. 001902 (CT). The current practice location address for Shannon B Knaggs is 1450 Chapel Street, New Haven, CT 06511 and can be reached out via phone at 203-789-4074 and via fax at 203-867-5534.

Provider Profile Details

NPI Number
1477575611
Provider Name
Shannon B Knaggs
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
1450 Chapel Street, New Haven, CT 06511
Phone Number
203-789-4074
Fax Number
203-867-5534
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
July 24, 2006
Last Update Date
September 18, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
1450 Chapel Street
New Haven, CT 06511
Zip
06511
Phone Number
203-789-4074
Fax Number
203-867-5534
New Haven, CT 06511Get directions →

Provider Business Mailing Address Details

Address
Po Box 1951
Saint Raphael Physicians
Brattleboro, VT 05302-1951
City
Brattleboro
State
VT
Zip
05302-1951
Phone Number
508-595-0531
Fax Number
508-829-5367

License Information

License Number
001902
License State
CT
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Shannon B Knaggs, APRN?

The NPI number of Mr. Shannon B Knaggs, APRN is 1477575611. It was assigned on July 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Shannon B Knaggs, APRN?

Mr. Shannon B Knaggs, APRN is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 001902.

Where does Mr. Shannon B Knaggs, APRN practice?

The practice location is 1450 Chapel Street, New Haven, CT 06511. The office can be reached at 203-789-4074 (phone) or 203-867-5534 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477575611 directly on the NPPES registry website.

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