Organization Active NPI

Thompson Cancer Survival Center

Doing business as Breast

  • Specialist
  • Knoxville, TN
National Provider Identifier
1609818194
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0000000171 Issued in TN
Legal business name
THOMPSON CANCER SURVIVAL CENTER
Doing business as
Breast
Practice address
1915 White Ave
Knoxville, TN 37916-2300
Phone
(865) 541-2028
Fax
(865) 541-1281
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Traci McCullough, CPA , MHSA
Title
Vice President, Cfo
Phone
(865) 531-5288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0000000171 TN Primary

Addresses

Primary practice location

1915 White Ave
Knoxville, TN 37916-2300

Mailing address

1915 White Ave
Knoxville, TN 37916-2300
Phone (865) 541-2028

Other names 1

  • Breast Doing business as

National Provider Directory

National Provider Directory

Locations

Dept 888077
Knoxville, TN 37995

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609818194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 WHITE AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162300",
            "telephone_number": "865-541-2028",
            "fax_number": "865-541-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 WHITE AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162300",
            "telephone_number": "865-541-2028",
            "fax_number": "865-541-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON CANCER SURVIVAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "VICE PRESIDENT, CFO",
        "authorized_official_telephone_number": "865-531-5288",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA , MHSA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "0000000171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breast",
            "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 22, 2020; 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.