Organization Active NPI

Qro Wellness,LLC

  • Psychiatry Physician
  • Knoxville, TN
National Provider Identifier
1215427372
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
QRO WELLNESS,LLC
Practice address
110 Perimeter Park Rd Ste a
Knoxville, TN 37922-2200
Phone
(865) 288-8970
Fax
(865) 935-8179
NPI assigned
May 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Patricia Rutherford
Title
Administrator
Phone
(865) 288-8970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

110 Perimeter Park Rd Ste a
Knoxville, TN 37922-2200

Mailing address

110 Perimeter Park Rd Ste a
Knoxville, TN 37922-2200
Phone (865) 288-8970

Other names 1

  • Onrise Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 865-935-8179 Other

National Provider Directory

National Provider Directory

Locations

117 Center Park Dr
Ste 220
Knoxville, TN 37922

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1215427372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PERIMETER PARK RD STE A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222200",
            "telephone_number": "865-288-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PERIMETER PARK RD STE A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222200",
            "telephone_number": "865-288-8970",
            "fax_number": "865-935-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QRO WELLNESS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "865-288-8970"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "865-935-8179",
            "affiliation": "N",
            "endpointDescription": "secure fax",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "110 Perimeter Park Rd Ste A",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379222200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Onrise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 21, 2021; 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.