{"npi":"1376852772","type":"NPI-1","status":"active","name":{"display":"Mr. Kevin Knack N.P.","other":[],"first":"KEVIN","last":"KNACK","middle":"MICHAEL","credential":"N.P."},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"CA","license":"95014679"},{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"WA","license":"RN60313579"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":false,"state":"CA","license":"95014679"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"WA","license":"AP60313580"}]},"addresses":[{"purpose":"LOCATION","street_1":"655 REDWOOD HWY FRONTAGE RD STE 240","city":"MILL VALLEY","state":"CA","postal_code":"949413055","country_code":"US","phone":"8662474292","fax":"8662474292"},{"purpose":"MAILING","street_1":"655 REDWOOD HWY FRONTAGE RD STE 240","city":"MILL VALLEY","state":"CA","postal_code":"949413055","country_code":"US","phone":"8662474292","fax":"8662474292"}],"license":{"state":"WA","number":"AP60313580"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2025451","state":"WA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130516000660","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"WA","pac_id":"0345487013"},{"enrlmt_id":"I20210107001448","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"CA","pac_id":"0345487013"}]},"enumeration_date":"2010-10-02","last_updated":"2025-09-02","_meta":{"source":"NPPES","snapshot_date":"2025-09-02","doc_url":"https://findmynpi.com/api"}}