Individual provider Active NPI

Amy Gay Debter, D.C.

  • Chiropractor
  • Hixson, TN
National Provider Identifier
1417909995
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 1735 Issued in TN
Practice address
5407 Hixson Pike
Suite 101
Hixson, TN 37343-4559
Phone
(423) 710-1913
Fax
(423) 710-1914
NPI assigned
May 16, 2006
Last updated
Sep 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 1735 TN Primary

Addresses

Primary practice location

5407 Hixson Pike
Suite 101
Hixson, TN 37343-4559

Mailing address

5407 Hixson Pike
Suite 101
Hixson, TN 37343-4559
Phone (423) 710-1913

Other identifiers 4

IdentifierTypeStateIssuer
0052280OtherTNCIGNA
4248692OtherTNBLUE CROSS BLUE SHIELD TN
103I700035OtherMEDICARE PTAN
745717OtherTNACN GROUP, INC. (OPTUMHEALTH)

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
DC 1735TNMDChiropractor
1735TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Chiropractic Center, LLC Chiropractor Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1417909995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 HIXSON PIKE",
            "address_2": "SUITE 101",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434559",
            "telephone_number": "423-710-1913",
            "fax_number": "423-710-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 HIXSON PIKE",
            "address_2": "SUITE 101",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434559",
            "telephone_number": "423-710-1913",
            "fax_number": "423-710-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBTER",
        "first_name": "AMY",
        "middle_name": "GAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC 1735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0052280",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "4248692",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "103I700035",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP, INC. (OPTUMHEALTH)",
            "identifier": "745717",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.