Active NPI
Qo Wellness PC
- Clinical Social Worker
- Knoxville, TN
National Provider Identifier
1497008692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSW3577
- Legal business name
- QO WELLNESS PC
- Practice address
- 12744 Kingston Pike
Suite 201
Knoxville, TN 37934-0940 - Phone
- (865) 274-7663
- NPI assigned
- Oct 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Orpurt, LCSW
- Title
- President
- Phone
- (865) 548-1606
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW3577 | TN | Primary |
| Psychiatry Physician | 2084P0800X | 41361 | TN |
Addresses
Primary practice location
12744 Kingston Pike
Suite 201
Knoxville, TN 37934-0940
Mailing address
12744 Kingston Pike
Suite 201
Knoxville, TN 37934-0940
Phone (865) 274-7663
National Provider Directory
National Provider DirectoryLocations
12744 Kingston Pike
Ste 201
Knoxville, TN 37934
Phone (865) 274-7663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351123200000",
"number": "1497008692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12744 KINGSTON PIKE",
"address_2": "SUITE 201",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379340940",
"telephone_number": "865-274-7663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12744 KINGSTON PIKE",
"address_2": "SUITE 201",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379340940",
"telephone_number": "865-274-7663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QO WELLNESS PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-25",
"last_updated": "2012-10-25",
"status": "A",
"authorized_official_last_name": "ORPURT",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "865-548-1606",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW3577",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "41361",
"primary": false
}
],
"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 Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.