Organization Active NPI

Knoxville-Knox County Community Action Committee

  • Non-emergency Medical Transport (VAN)
  • Knoxville, TN
National Provider Identifier
1265589964
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
KNOXVILLE-KNOX COUNTY COMMUNITY ACTION COMMITTEE
Practice address
2247 Western Ave
Knoxville, TN 37921-5756
Phone
(865) 524-0319
Fax
(865) 546-9013
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Barbara Kelly
Title
Executive Director
Phone
(865) 546-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

2247 Western Ave
Knoxville, TN 37921-5756

Mailing address

PO Box 51650
Knoxville, TN 37950-1650
Phone (865) 524-0319

Other identifiers 1

IdentifierTypeStateIssuer
5440675MedicaidTN

National Provider Directory

National Provider Directory

Locations

2247 Western Ave
Knoxville, TN 37921
Phone (865) 524-0319

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265589964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51650",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379501650",
            "telephone_number": "865-524-0319",
            "fax_number": "865-546-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 WESTERN AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379215756",
            "telephone_number": "865-524-0319",
            "fax_number": "865-546-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE-KNOX COUNTY COMMUNITY ACTION COMMITTEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "865-546-3500"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5440675",
            "state": "TN"
        }
    ],
    "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 Aug 22, 2020; 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.