Organization Active NPI

Real Talk LLC

  • Community/Behavioral Health Agency
  • Knoxville, TN
National Provider Identifier
1457190571
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REAL TALK LLC
Practice address
5710 Jacksboro Pike
Knoxville, TN 37918-4120
Phone
(865) 228-5555
NPI assigned
May 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Deanna Scraggs LMSW, LMSW
Title
Authorized Representative
Phone
(865) 228-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5710 Jacksboro Pike
Knoxville, TN 37918-4120

Mailing address

5710 Jacksboro Pike
Knoxville, TN 37918-4120
Phone (865) 228-5555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1457190571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 JACKSBORO PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379184120",
            "telephone_number": "865-228-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 JACKSBORO PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379184120",
            "telephone_number": "865-228-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL TALK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "LMSW",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "SCRAGGS",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "865-228-5555",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 May 28, 2024; 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.