Organization Active NPI

Knoxville Foot and Ankle, LLC

  • Foot & Ankle Surgery Podiatrist
  • Knoxville, TN
National Provider Identifier
1609207117
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
KNOXVILLE FOOT AND ANKLE, LLC
Practice address
1919 Pinnacle Pointe Way
Knoxville, TN 37922-6701
Phone
(877) 380-2072
Fax
(208) 383-5306
NPI assigned
Dec 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Christina Lynn Pike
Title
Delegated Offical
Phone
(208) 985-2260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X TN Primary

Addresses

Primary practice location

1919 Pinnacle Pointe Way
Knoxville, TN 37922-6701

Mailing address

1415 Old Weisgarber Rd Ste 350
Knoxville, TN 37909-1381
Phone (304) 629-9868

Other practice location 1

170 Beech St
Harrogate, TN 37752-8251
Phone (877) 380-2072

Other practice location 2

2435 Jacksboro Pike Ste 3
LA Follette, TN 37766-2912
Phone (877) 380-2072

Other practice location 3

1907 W Morris Blvd Ste A400
Morristown, TN 37813-3876
Phone (877) 380-2072

Other practice location 4

1720 West Ave Ste 101
Crossville, TN 38555-6066
Phone (877) 380-2072

Other identifiers 1

IdentifierTypeStateIssuer
Q002214MedicaidTN

Other names 1

  • SWCA of TN Doing business as

National Provider Directory

National Provider Directory

Locations

1720 West Ave
Ste 101
Crossville, TN 38555
Phone (931) 707-5299

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1609207117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 OLD WEISGARBER RD STE 350",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091381",
            "telephone_number": "304-629-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 PINNACLE POINTE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226701",
            "telephone_number": "877-380-2072",
            "fax_number": "208-383-5306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Beech St",
            "address_purpose": "LOCATION",
            "city": "Harrogate",
            "state": "TN",
            "postal_code": "377528251",
            "country_code": "US",
            "telephone_number": "877-380-2072",
            "fax_number": "877-383-5306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2435 Jacksboro Pike Ste 3",
            "address_purpose": "LOCATION",
            "city": "LA Follette",
            "state": "TN",
            "postal_code": "377662912",
            "country_code": "US",
            "telephone_number": "877-380-2072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1907 W Morris Blvd Ste A400",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378133876",
            "country_code": "US",
            "telephone_number": "877-380-2072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 West Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385556066",
            "country_code": "US",
            "telephone_number": "877-380-2072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KNOXVILLE FOOT AND ANKLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "PIKE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DELEGATED OFFICAL",
        "authorized_official_telephone_number": "208-985-2260"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q002214",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWCA of TN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 3, 2021; 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.