Active NPI
Energy Employees Wellness PLLC
- Family Medicine Physician
- Knoxville, TN
National Provider Identifier
1689425860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ENERGY EMPLOYEES WELLNESS PLLC
- Practice address
- 9220 Park West Blvd Ste 1
Knoxville, TN 37923-4405 - Phone
- (615) 521-9097
- NPI assigned
- Mar 27, 2024
- 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
- Paul Caudill
- Title
- Contract Administrator
- Phone
- (615) 521-9097
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
9220 Park West Blvd Ste 1
Knoxville, TN 37923-4405
Mailing address
401 S Mount Juliet Rd Ste 235
Mount Juliet, TN 37122-8473
Phone (615) 521-9097
National Provider Directory
National Provider DirectoryLocations
401 S Mount Juliet Rd
Ste 235
Mt Juliet, TN 37122
Phone (615) 549-5919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711497600000",
"number": "1689425860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S MOUNT JULIET RD STE 235",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371228473",
"telephone_number": "615-521-9097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9220 PARK WEST BLVD STE 1",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234405",
"telephone_number": "615-521-9097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENERGY EMPLOYEES WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-27",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A",
"authorized_official_last_name": "CAUDILL",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CONTRACT ADMINISTRATOR",
"authorized_official_telephone_number": "615-521-9097"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"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 Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.