Individual provider Active NPI

Emily C Burgess, DC, RN

  • Chiropractor
  • Nashville, TN
National Provider Identifier
1104012897
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2728 Issued in TN
Practice address
2300 21St Ave S Ste 203
Nashville, TN 37212-4927
Phone
(615) 475-3405
NPI assigned
Sep 17, 2007
Reactivated
May 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN0000149773 TN
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2728 TN Primary

Addresses

Primary practice location

2300 21St Ave S Ste 203
Nashville, TN 37212-4927

Mailing address

5667 Cane Ridge Rd
Antioch, TN 37013-3903
Phone (615) 475-3405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN0000149773TNMDSchool Registered Nurse
2728TNMDNeurorehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhythm Chiropractic, LLC Chiropractor CurrentSince Jul 7, 2024 Accepting new patients
Brain & Spine Wellness Center, PLLC Single Specialty CurrentSince Jul 7, 2024 Accepting new patients
Metro Health Dept Past Accepting new patients

Locations

2300 21st Ave S
Ste 203
Nashville, TN 37212
Phone (615) 463-0550

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1104012897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5667 CANE RIDGE RD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133903",
            "telephone_number": "615-475-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 21ST AVE S STE 203",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124927",
            "telephone_number": "615-475-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "EMILY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "deactivation_date": "2022-04-06",
        "reactivation_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "TN",
            "license": "RN0000149773",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.