Individual provider Active NPI

Sandra Sue Setzer, D.C.

  • Chiropractor
  • Knoxville, TN
National Provider Identifier
1295890549
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000001985 Issued in TN
Practice address
6911 Kingston Pike
Knoxville, TN 37919-5703
Phone
(865) 588-5734
Fax
(865) 588-5738
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0000001985 TN Primary

Addresses

Primary practice location

6911 Kingston Pike
Knoxville, TN 37919-5703

Mailing address

PO Box 11277
Knoxville, TN 37939-1277
Phone (865) 588-5734

Other identifiers 3

IdentifierTypeStateIssuer
9401272OtherTNPHCS
11498274OtherTNCAQH
2953790OtherTNCIGNA

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

LicenseStateTypeSpecialty
DC0000001985TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Beckett Corporation Chiropractor Past Accepting new patients
The Vitality Chiropractic PC Chiropractor PastSince Dec 1, 2018 Accepting new patients
Williem R. Kelley DCPC Chiropractor PastSince Feb 1, 2019 Accepting new patients

Organizations & group practices 3

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295890549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11277",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379391277",
            "telephone_number": "865-588-5734",
            "fax_number": "865-588-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195703",
            "telephone_number": "865-588-5734",
            "fax_number": "865-588-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETZER",
        "first_name": "SANDRA",
        "middle_name": "SUE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000001985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9401272",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11498274",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2953790",
            "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 Jul 8, 2007; 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.