Individual provider Active NPI

Charisse J Huston, DC

  • Chiropractor
  • Knoxville, TN
National Provider Identifier
1265651939
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3663 Issued in TN
Practice address
4405 Central Avenue Pike Ste 102
Knoxville, TN 37912-4078
Phone
(865) 315-7479
Fax
(865) 315-7479
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0006414 FL
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3663 TN Primary
Chiropractor 111N00000X 2644 WI
Chiropractor 111N00000X DC-006569-L PA

Addresses

Primary practice location

4405 Central Avenue Pike Ste 102
Knoxville, TN 37912-4078

Mailing address

4405 Central Avenue Pike Ste 102
Knoxville, TN 37912-4078
Phone (865) 315-7479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260512002891 TN Practitioner - Chiropractic 4789848060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Corrective Chiropractic KnoxvilleGroup PAC ID 2466995881, 2 clinicians

Practice addresses (Care Compare)

4405 Central Ave Pike
Suite 102
Knoxville, TN 37912-4078
Phone (865) 315-7479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0006414FLMDChiropractor
DC-006569-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Corrective Chiropractic Knoxville Chiropractor CurrentSince Mar 24, 2026 Accepting new patients
Wisconsin Health Fund Single Specialty CurrentSince Jun 15, 2022 Accepting new patients

Locations

4405 Central Avenue Pike
Ste 102
Knoxville, TN 37912
Phone (865) 315-7479

6200 W Bluemound Rd
Milwaukee, WI 53213
Phone (414) 479-3668

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1265651939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 CENTRAL AVENUE PIKE STE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379124078",
            "telephone_number": "865-315-7479",
            "fax_number": "865-315-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 CENTRAL AVENUE PIKE STE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379124078",
            "telephone_number": "865-315-7479",
            "fax_number": "865-315-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTON",
        "first_name": "CHARISSE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006414",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3663",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2644",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-006569-L",
            "primary": false
        }
    ],
    "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 Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.