NPIMap

Organization Active NPI

Knox Headache and Wellness Center LLC

  • Clinic/Center
  • Powell, TN
National Provider Identifier
1104469428
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KNOX HEADACHE AND WELLNESS CENTER LLC
Practice address
4612 E Joyce LN
Powell, TN 37849-5155
Phone
(865) 566-7520
NPI assigned
Oct 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Authorized official

Name
Mrs. Kimberly H Qualls, NPNPI 1427321942
Title
Nurse Practitioner/Owner
Phone
(865) 566-7520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4612 E Joyce LN
Powell, TN 37849-5155

Mailing address

4612 E Joyce LN
Powell, TN 37849-5155
Phone (865) 566-7520

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1571356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1104469428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 E JOYCE LN",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378495155",
            "telephone_number": "865-566-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 E JOYCE LN",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378495155",
            "telephone_number": "865-566-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX HEADACHE AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "QUALLS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "865-566-7520",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.