NPIMap

Organization Active NPI

Knoxville Center for Autism, Inc.

  • Behavior Analyst
  • Knoxville, TN
National Provider Identifier
1083036859
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KNOXVILLE CENTER FOR AUTISM, INC.
Practice address
9051 Executive Park Dr
Suite 200
Knoxville, TN 37923-4606
Phone
(865) 200-5127
Fax
(865) 200-5127
NPI assigned
Jan 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Authorized official

Name
Sara L Gilbert, M.S. BCBA
Title
President/Director
Phone
(865) 200-5127

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 5189 TN

Addresses

Primary practice location

9051 Executive Park Dr
Suite 200
Knoxville, TN 37923-4606

Mailing address

9051 Executive Park Dr
Suite 200
Knoxville, TN 37923-4606
Phone (865) 200-5127

Other identifiers 1

IdentifierTypeStateIssuer
5442213MedicaidTN

National Provider Directory

National Provider Directory

Locations

9051 Executive Park Dr
Ste 302
Knoxville, TN 37923
Phone (865) 200-5127

9051 Executive Park Dr
Ste 200
Knoxville, TN 37923
Phone (865) 200-5127

7675 Oak Ridge Hwy
Knoxville, TN 37931
Phone (865) 253-7077

7656 Oak Ridge Hwy
Knoxville, TN 37931

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": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1083036859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9051 EXECUTIVE PARK DR",
            "address_2": "SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234606",
            "telephone_number": "865-200-5127",
            "fax_number": "865-200-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 EXECUTIVE PARK DR",
            "address_2": "SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234606",
            "telephone_number": "865-200-5127",
            "fax_number": "865-200-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE CENTER FOR AUTISM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "865-200-5127",
        "authorized_official_credential": "M.S. BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "5189",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5442213",
            "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 Jan 14, 2014; 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.