Active NPI
Jonathan Aaron Boggs, SOCIAL WORKER
- Social Worker
- Knoxville, TN
National Provider Identifier
1356954747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- PENDING
- Practice address
- 1557 Downtown West Blvd
Knoxville, TN 37919-5407 - Phone
- (865) 545-4592
- Fax
- (865) 693-8554
- NPI assigned
- Aug 26, 2020
- Last updated
- Aug 26, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NA | TN | |
| Social Worker | 104100000X | PENDING | TN | Primary |
Addresses
Primary practice location
1557 Downtown West Blvd
Knoxville, TN 37919-5407
Mailing address
1557 Downtown West Blvd
Knoxville, TN 37919-5407
Phone (865) 545-4592
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | TN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598400000000",
"number": "1356954747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1557 DOWNTOWN WEST BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379195407",
"telephone_number": "865-545-4592",
"fax_number": "865-693-8554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1557 DOWNTOWN WEST BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379195407",
"telephone_number": "865-545-4592",
"fax_number": "865-693-8554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGGS",
"first_name": "JONATHAN",
"middle_name": "AARON",
"credential": "SOCIAL WORKER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-26",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "NA",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "PENDING",
"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 Aug 26, 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.