Individual provider Active NPI

Annette Rae Burlison, D.C.

  • Chiropractor
  • Knoxville, TN
National Provider Identifier
1346417656
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011144 Issued in IL
Practice address
150 Lovell Rd Ste 107
Knoxville, TN 37934-1900
Phone
(630) 605-0583
NPI assigned
May 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011144 IL Primary

Addresses

Primary practice location

150 Lovell Rd Ste 107
Knoxville, TN 37934-1900

Mailing address

150 Lovell Rd Ste 107
Knoxville, TN 37934-1900
Phone (630) 605-0583

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220110002741 TN Practitioner - Chiropractic 0042373912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 Lovell Rd
Suite 107
Knoxville, TN 37934-1900
Phone (630) 605-0583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038011144ILMDChiropractor
3440TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Firm Foundation Chiropractic Chiropractor CurrentSince Aug 6, 2024 Accepting new patients
Brightlife of Knoxville Chiropractor CurrentSince Nov 1, 2021 Accepting new patients
Chiropractic Health Centre of Lake County Chiropractor PastSince Nov 9, 2019 Accepting new patients
Advanced Spinal Care LLC Chiropractor Past Accepting new patients

Locations

190 Market Place Blvd
#B
Knoxville, TN 37922
Phone (865) 288-4568

150 Lovell Rd
Ste 107
Knoxville, TN 37934
Phone (630) 605-0583

Organizations & group practices 4

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1346417656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LOVELL RD STE 107",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341900",
            "telephone_number": "630-605-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LOVELL RD STE 107",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341900",
            "telephone_number": "630-605-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLISON",
        "first_name": "ANNETTE",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011144",
            "primary": true
        }
    ],
    "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 Jan 4, 2022; 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.