Organization Active NPI

Community Pain Consultants

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1063897627
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN19745 Issued in TN
Legal business name
COMMUNITY PAIN CONSULTANTS
Practice address
509 N Cedar Bluff Rd
Knoxville, TN 37923-2805
Phone
(865) 769-5388
Fax
(865) 769-5391
NPI assigned
Jul 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Riley Senter
Title
Medical Director/Owner
Phone
(865) 769-5388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X APN19745 TN Primary

Addresses

Primary practice location

509 N Cedar Bluff Rd
Knoxville, TN 37923-2805

Mailing address

509 N Cedar Bluff Rd
Knoxville, TN 37923-2805
Phone (865) 769-5388

Other identifiers 1

IdentifierTypeStateIssuer
3806872MedicaidTN

National Provider Directory

National Provider Directory

Locations

509 N Cedar Bluff Rd
Knoxville, TN 37923
Phone (865) 769-5388

NPI Registry JSON

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1063897627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N CEDAR BLUFF RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379232805",
            "telephone_number": "865-769-5388",
            "fax_number": "865-769-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N CEDAR BLUFF RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379232805",
            "telephone_number": "865-769-5388",
            "fax_number": "865-769-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PAIN CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SENTER",
        "authorized_official_first_name": "RILEY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "865-769-5388"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN19745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3806872",
            "state": "TN"
        }
    ],
    "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 Mar 7, 2023; 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.