Provider Demographics
NPI:1154595536
Name:KNIGHT, DANIELA R (RD)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:R
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6507 JESTER BLVD
Mailing Address - Street 2:SUITE 510-K
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-8368
Mailing Address - Country:US
Mailing Address - Phone:512-431-1964
Mailing Address - Fax:
Practice Address - Street 1:6507 JESTER BLVD
Practice Address - Street 2:SUITE 510-K
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-8368
Practice Address - Country:US
Practice Address - Phone:512-431-1964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT80129133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered