NPIMap

Organization Active NPI

Interfaith Health Clinic, Inc

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1033599154
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INTERFAITH HEALTH CLINIC, INC
Practice address
315 Gill Ave
Knoxville, TN 37917-7209
Phone
(865) 546-7330
Fax
(865) 546-6643
NPI assigned
Jun 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephanie Dockery
Title
Practice Manager
Phone
(865) 546-7330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

315 Gill Ave
Knoxville, TN 37917-7209

Mailing address

315 Gill Ave
Knoxville, TN 37917-7209
Phone (865) 546-7330

National Provider Directory

National Provider Directory

Locations

315 Gill Ave
Knoxville, TN 37917
Phone (865) 546-7330

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16930/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1033599154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 GILL AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379177209",
            "telephone_number": "865-546-7330",
            "fax_number": "865-546-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 GILL AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379177209",
            "telephone_number": "865-546-7330",
            "fax_number": "865-546-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERFAITH HEALTH CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "DOCKERY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "865-546-7330"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.