Provider Demographics
NPI:1588378814
Name:KNIGHTEN, SHARON KAY
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:KAY
Last Name:KNIGHTEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 MCGAHEY LN
Mailing Address - Street 2:
Mailing Address - City:MCGAHEYSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22840-2363
Mailing Address - Country:US
Mailing Address - Phone:540-271-2976
Mailing Address - Fax:
Practice Address - Street 1:164 MCGAHEY LN
Practice Address - Street 2:
Practice Address - City:MCGAHEYSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22840-2363
Practice Address - Country:US
Practice Address - Phone:540-271-2976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA863366473374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty