Tommy D. Knowles-Bagwell, D.MIN.

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

License

CPT 07 Issued in TN

Practice address

1024 Noelton Ave
Nashville, TN 37204-3232

Phone

(615) 972-7652

NPI assigned

Dec 5, 2006

Last updated

Sep 9, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1245398650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 NOELTON AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043232",
            "telephone_number": "615-972-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 NOELTON AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043232",
            "telephone_number": "615-972-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES-BAGWELL",
        "first_name": "TOMMY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.MIN.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "TN",
            "license": "CPT 07",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ANDBLUE SHIELD",
            "identifier": "4110514",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Knott, RBT
• Latonya Denise Knott, M.D.
• Brett Jared Knotts, FNP-BC
• Lori Ann Knotts, CRNA
• Knowles Home Assisted Living & Day Care Services (J B Knowles Home)
• Jennifer Knowles
• Andrea B Knox, NP
• Danielle Knox
• Jennifer Knox, LPC/MHSP
• Rachel Knox

• Pastoral Counselor in Nashville, TN
• Providers in Nashville, TN by specialty
• Pastoral Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.