Individual provider Active NPI

Nathan Eric Leavitt, D.C.

  • Chiropractor
  • Knoxville, TN
National Provider Identifier
1699746545
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC2046 Issued in TN
Practice address
6311 Kingston Pike Ste 28W
HTTP://WWW.Drnathanleavitt.Com
Knoxville, TN 37919-4900
Phone
(865) 287-5904
Fax
(865) 512-1412
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC2046 TN Primary

Addresses

Primary practice location

6311 Kingston Pike Ste 28W
HTTP://WWW.Drnathanleavitt.Com
Knoxville, TN 37919-4900

Mailing address

6311 Kingston Pike Ste 28W
HTTP://WWW.Drnathanleavitt.Com
Knoxville, TN 37919-4900
Phone (865) 287-5904

Other identifiers 2

IdentifierTypeStateIssuer
2390911OtherTNCIGNA
4130528OtherTNBCBS

Other names 1

  • Dr. Nathan Eric Leavitt Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050628001312 TN Practitioner - Chiropractic 3375523616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Knoxville Medical PLLCGroup PAC ID 8022444330, 2 clinicians

Practice addresses (Care Compare)

6216 Highland Place Way
Suite 201
Knoxville, TN 37919-4068
Phone (865) 287-5904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC2046TNMDChiropractor
2046TNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Knoxville Medical P.L.L.C. CurrentSince Oct 5, 2019 Accepting new patients
East Town Health and Wellness Center LLC Past Accepting new patients
The Beckett Corporation Chiropractor Past Accepting new patients

Locations

6216 Highland Place Way
Ste 201
Knoxville, TN 37919
Phone (865) 243-2488

6311 Kingston Pike
Ste 28W
Knoxville, TN 37919
Phone (865) 287-5904

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1699746545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 KINGSTON PIKE STE 28W",
            "address_2": "HTTP://WWW.DRNATHANLEAVITT.COM",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194900",
            "telephone_number": "865-287-5904",
            "fax_number": "865-512-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 KINGSTON PIKE STE 28W",
            "address_2": "HTTP://WWW.DRNATHANLEAVITT.COM",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194900",
            "telephone_number": "865-287-5904",
            "fax_number": "865-512-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "NATHAN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC2046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2390911",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4130528",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATHAN",
            "last_name": "LEAVITT",
            "middle_name": "ERIC",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.