Christy Muecke, PEDORTHIST

Primary specialty

PedorthistTaxonomy code 224L00000X

License

81 Issued in TN

Practice address

201 Center Park Dr Ste 100
Knoxville, TN 37922-2105

Phone

(865) 966-4452

Fax

(865) 966-4457

NPI assigned

Mar 31, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1689963522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374113603",
            "telephone_number": "423-697-0057",
            "fax_number": "423-648-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CENTER PARK DR STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222105",
            "telephone_number": "865-966-4452",
            "fax_number": "865-966-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUECKE",
        "first_name": "CHRISTY",
        "credential": "PEDORTHIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "TN",
            "license": "81",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455062",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000973794C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1507472",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kyle Mueller
• Renee Moore Mueller, D.PH.
• Jules Kitongo Mugemuzi, MD
• Mugford Pharmacy Inc.
• Jennifer Mugleston, MASTER OF ARTS

• Pedorthist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pedorthist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.