Active NPI
Judith Roy, D.C.
- Chiropractor
- Knoxville, TN
National Provider Identifier
1477557288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 646
- Practice address
- 4800 Millertown Pike
Knoxville, TN 37917-2138 - Phone
- (865) 522-6300
- Fax
- (865) 522-2455
- NPI assigned
- Jun 9, 2005
- Reactivated
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 646 | TN | Primary |
Addresses
Primary practice location
4800 Millertown Pike
Knoxville, TN 37917-2138
Mailing address
4800 Millertown Pike
Knoxville, TN 37917-2138
Phone (865) 522-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060109000286 | TN | Practitioner - Chiropractic | 9537182282 | Practice locations: Knoxville, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4800 Millertown Pike
Knoxville, TN 37917-2138
Phone (865) 522-6300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 646 | TN | MD | Genetic Counselor (M.S.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williem R. Kelley DCPC | Chiropractor | Past | Accepting new patients |
| East Town Health and Wellness Center LLC | Past | Accepting new patients | |
| West Knoxville Chiropractic, Inc | Chiropractor | Past | Accepting new patients |
| The Beckett Corporation | Chiropractor | Past | Accepting new patients |
Interoperability endpoints
- jpr@etc0001.direct.chirotouch.md
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.
-
- Health Service Clinic/Center
- Knoxville, TN
- NPI 1063073286
-
- Chiropractor
- Knoxville, TN
- NPI 1134549991
-
- Chiropractor
- Knoxville, TN
- NPI 1174765663
-
- Chiropractor
- Knoxville, TN
- NPI 1780156018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437350400000",
"number": "1477557288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 MILLERTOWN PIKE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379172138",
"telephone_number": "865-522-6300",
"fax_number": "865-522-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 MILLERTOWN PIKE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379172138",
"telephone_number": "865-522-6300",
"fax_number": "865-522-2455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "JUDITH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-09",
"last_updated": "2015-07-20",
"deactivation_date": "2006-03-15",
"reactivation_date": "2006-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "646",
"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 Jul 20, 2015; 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.