Active NPI
Knoxville Gastrointestinal Specialists, PC
- Gastroenterology Physician
- Knoxville, TN
National Provider Identifier
1194910919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- KNOXVILLE GASTROINTESTINAL SPECIALISTS, PC
- Practice address
- 1819 W Clinch Ave
Suite 212
Knoxville, TN 37916-2434 - Phone
- (865) 523-6418
- NPI assigned
- Sep 14, 2007
- Last updated
- Feb 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kristi L Breeden
- Title
- Office MGR
- Phone
- (865) 523-6418
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | NU | Primary |
Addresses
Primary practice location
1819 W Clinch Ave
Suite 212
Knoxville, TN 37916-2434
Mailing address
1819 W Clinch Ave
Suite 212
Knoxville, TN 37916-2434
Phone (865) 523-6418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2001 Laurel Ave
Ste 603
Knoxville, TN 37916
Phone (865) 523-6418
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Gastroenterology Physician
- Knoxville, TN
- NPI 1730159310
-
- Gastroenterology Physician
- Knoxville, TN
- NPI 1699745273
-
- Adult Health Nurse Practitioner
- Nashville, TN
- NPI 1770617011
-
- Nurse Practitioner
- Knoxville, TN
- NPI 1427518182
-
- Gastroenterology Physician
- Knoxville, TN
- NPI 1497725089
-
- Family Nurse Practitioner
- Knoxville, TN
- NPI 1437775244
-
- Gastroenterology Physician
- Knoxville, TN
- NPI 1144290727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328227200000",
"number": "1194910919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 W CLINCH AVE",
"address_2": "SUITE 212",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162434",
"telephone_number": "865-523-6418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 W CLINCH AVE",
"address_2": "SUITE 212",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162434",
"telephone_number": "865-523-6418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNOXVILLE GASTROINTESTINAL SPECIALISTS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-14",
"last_updated": "2012-02-03",
"status": "A",
"authorized_official_last_name": "BREEDEN",
"authorized_official_first_name": "KRISTI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MGR",
"authorized_official_telephone_number": "865-523-6418",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
- Knoxville Family Dental
- Knoxville Fna Clinic, PLLC
- Knoxville Foot and Ankle, LLC (SWCA of TN)
- Knoxville Gastroenterology Anesthesia Associates, LLC
- Knoxville Gastroenterology Consultants PLLC
- Knoxville Group Health, LLC
- Knoxville Gynecologic Cancer Specialists, P.C.
- Knoxville Health and Wellness PLLC
- Knoxville Health Care Center LTD
- Knoxville Health Care Center, LP (NHC HealthCare, Fort Sanders)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.