NPIMap

Organization Active NPI

Tennessee Center for Reproductive Acupuncture

  • Acupuncturist
  • Maryville, TN
National Provider Identifier
1669034955
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
TENNESSEE CENTER FOR REPRODUCTIVE ACUPUNCTURE
Practice address
423 Washington St.
Maryville, TN 37804
Phone
(865) 315-3157
Fax
(865) 686-5470
NPI assigned
Jul 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Authorized official

Name
Sarah Jeane Prater, L.AC.NPI 1740429299
Title
Owner
Phone
(812) 219-3302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

423 Washington St.
Maryville, TN 37804

Mailing address

116 Sandidge Rd
Maryville, TN 37804-3502
Phone (812) 219-3302

Other practice location 1

342 Ebenezer Rd
Knoxville, TN 37923-5303
Phone (865) 315-3845

Other names 1

  • Maryville Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

342 Ebenezer Rd
Knoxville, TN 37923
Phone (865) 315-3845

423 S Washington St
Maryville, TN 37804
Phone (865) 315-3157

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1669034955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 SANDIDGE RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378043502",
            "telephone_number": "812-219-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 WASHINGTON ST.",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "37804",
            "telephone_number": "865-315-3157",
            "fax_number": "865-686-5470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "342 Ebenezer Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379235303",
            "country_code": "US",
            "telephone_number": "865-315-3845",
            "fax_number": "865-686-5470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TENNESSEE CENTER FOR REPRODUCTIVE ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "PRATER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "JEANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-219-3302",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryville Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maryville Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.