Mulberry Street Chiropractic & Wellness P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MULBERRY STREET CHIROPRACTIC & WELLNESS P.C.

Practice address

706 Mulberry St
Loudon, TN 37774-1124

Phone

(865) 657-9994

Fax

(865) 657-9162

NPI assigned

Sep 7, 2023

Last updated

Sep 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William L Nelson, DCNPI 1366581621

Title

President

Phone

(909) 229-1456

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William L Nelson, D.C.

  • Chiropractor
  • Diamond Bar, CA
  • NPI 1366581621

  TN

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1154107894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 MULBERRY ST",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377741124",
            "telephone_number": "865-657-9994",
            "fax_number": "865-657-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 MULBERRY ST",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377741124",
            "telephone_number": "865-657-9994",
            "fax_number": "865-657-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULBERRY STREET CHIROPRACTIC & WELLNESS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-229-1456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Marie Miller, RDN
• Hannah Monroe
• Carolyn H Morton
• Heather Lynn Moss, PHARM.D.
• Mountain View Assisted Living of Loudon, LLC
• Mulberry Street Pharmacy LLC
• Munsey Pharmacy of Loudon
• Alessandra Musetti, M.D.
• Alyssa Nation, ACNPC-AG
• Nationalrx, Inc

• Chiropractor in Loudon, TN
• Providers in Loudon, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.