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SHIRLEY KNACKSTEDT CFNP
NPI 1114908761
Nurse Practitioner - Family in Los Ranchos, NM

Active since November 10, 2005
7218 4TH ST NW, LOS RANCHOS, NM 87107(505) 730-5603(505) 554-2313 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shirley Knackstedt Cfnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIRLEY KNACKSTEDT CFNP (NPI 1114908761) is an individual family provider in Los Ranchos, New Mexico, licensed in New Mexico (R39671/CNP00873) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1114908761
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHIRLEY KNACKSTEDTCredential: CFNP
Location Address7218 4TH ST NWLos Ranchos, NM 87107-6624
Mailing Address7218 4th St NwLos Ranchos, NM 87107-6624 · (505) 730-5603 · Fax (505) 554-2313
Phone(505) 730-5603
Fax(505) 554-2313
Sole ProprietorNo
Enumeration DateNovember 10, 2005
Last NPPES UpdateApril 4, 2016
✔ NPI 1114908761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NM · R39671/CNP00873
7218 4TH ST NW, Los Ranchos, NM 87107
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Other Identifiers 2

Medicare UPINNMAAA0077NM
MedicaidK3771NM

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KNACKSTEDT MEDICAL GROUP INC.
Nurse Practitioner (Family)
7218 4TH ST NW
LOS RANCHOS, NM 87107
Bernalillo County (505) 730-5603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shirley Knackstedt's NPI number?

The NPI number for Shirley Knackstedt is 1114908761. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Shirley Knackstedt located?

Shirley Knackstedt practices at 7218 4th St NW, Los Ranchos, NM 87107. The listed phone number is (505) 730-5603.

What is Shirley Knackstedt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shirley Knackstedt was last updated on April 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.