Active NPI
Alicia Marie Irwin-Bloom
- Chiropractor
- Knoxville, TN
National Provider Identifier
1205203809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2856
- Practice address
- 265 Brookview Centre Way
Suite 103
Knoxville, TN 37919-4049 - Phone
- (865) 766-2081
- NPI assigned
- Aug 31, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2856 | TN | Primary |
Addresses
Primary practice location
265 Brookview Centre Way
Suite 103
Knoxville, TN 37919-4049
Mailing address
265 Brookview Centre Way
Suite 103
Knoxville, TN 37919-4049
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2856 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marble City Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Knoxville, TN
- NPI 1649513490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1205203809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 BROOKVIEW CENTRE WAY",
"address_2": "SUITE 103",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379194049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 BROOKVIEW CENTRE WAY",
"address_2": "SUITE 103",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379194049",
"telephone_number": "865-766-2081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRWIN-BLOOM",
"first_name": "ALICIA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-31",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "2856",
"primary": true
}
],
"identifiers": [],
"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 Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.