Active NPI
K-VA-T Food Stores Inc
- Primary Care Clinic/Center
- Knoxville, TN
National Provider Identifier
1760386155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- K-VA-T FOOD STORES INC
- Practice address
- 11501 Hardin Valley Rd
Knoxville, TN 37932-1423 - Phone
- (865) 692-5183
- Fax
- (865) 692-5223
- NPI assigned
- Oct 7, 2026
- Last updated
- Oct 7, 2026
- 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
- Suzanne Nicole 'Nikki' Nidiffer
- Title
- Administrative Assistant
- Phone
- (276) 623-5100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | NU | ||
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
11501 Hardin Valley Rd
Knoxville, TN 37932-1423
Mailing address
PO Box 1158
Abingdon, VA 24212-1158
Phone (276) 623-5100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791331200000",
"number": "1760386155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1158",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242121158",
"telephone_number": "276-623-5100",
"fax_number": "276-623-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11501 HARDIN VALLEY RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379321423",
"telephone_number": "865-692-5183",
"fax_number": "865-692-5223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K-VA-T FOOD STORES INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-07",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A",
"authorized_official_last_name": "NIDIFFER",
"authorized_official_first_name": "SUZANNE",
"authorized_official_middle_name": "NICOLE 'NIKKI'",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
"authorized_official_telephone_number": "276-623-5100"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"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 Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.