Individual provider Active NPI

Judith Roy, D.C.

  • Chiropractor
  • Knoxville, TN
National Provider Identifier
1477557288
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
646 Issued in TN
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

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
646TNMDGenetic Counselor (M.S.)

Practice roles

OrganizationSpecialtyStatusNew patients
Williem R. Kelley DCPC Chiropractor PastSince Feb 1, 2019 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.