Individual provider Active NPI

Kimberly Anush Givelechian, DC

  • Chiropractor
  • Knoxville, TN
National Provider Identifier
1467033175
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3421 Issued in TN
Practice address
265 Brookview Centre Way Ste 103
Knoxville, TN 37919-4052
Phone
(865) 766-2081
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3421 TN Primary

Addresses

Primary practice location

265 Brookview Centre Way Ste 103
Knoxville, TN 37919-4052

Mailing address

7347 Kingston Pike
Knoxville, TN 37919-5714
Phone (865) 766-2081

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Info@marblecityfamily.com Direct Marble City Family Chiropractic LLC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220609000493 TN Practitioner - Chiropractic 9638557341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marble City Family Chiropractic LLCGroup PAC ID 3476863549, 5 clinicians

Practice addresses (Care Compare)

7347 Kingston Pike
Knoxville, TN 37919-5714
Phone (865) 766-2081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marble City Family Chiropractic LLC Chiropractor CurrentSince Mar 3, 2022 Accepting new patients
Marble City Chiropractic Chiropractor PastSince Apr 20, 2021 Accepting new patients

Locations

265 Brookview Centre Way
Ste 103
Knoxville, TN 37919
Phone (404) 542-1786

7347 Kingston Pike
Knoxville, TN 37919
Phone (865) 766-2081

Interoperability endpoints

  • Direct secure messaging: info@marblecityfamily.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1467033175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7347 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195714",
            "telephone_number": "865-766-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY STE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194052",
            "telephone_number": "865-766-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIVELECHIAN",
        "first_name": "KIMBERLY",
        "middle_name": "ANUSH",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@marblecityfamily.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Marble City Family Chiropractic LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "265 Brookview Centre Way",
            "address_2": "Suite 103",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379194049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 2, 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.