Active NPI
Susan Maxwell, ACCUDETOX SPECIALIST
- Acupuncturist
- Knoxville, TN
National Provider Identifier
1881167005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 156
- Practice address
- 2270 Sutherland Ave
Knoxville, TN 37919-2331 - Phone
- (865) 951-2975
- NPI assigned
- Jan 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 156 | TN | Primary |
Addresses
Primary practice location
2270 Sutherland Ave
Knoxville, TN 37919-2331
Mailing address
812 Blair Loop
Walland, TN 37886-2329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156 | TN | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JCK Holdings LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1558884254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1881167005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 BLAIR LOOP",
"city": "WALLAND",
"state": "TN",
"postal_code": "378862329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2270 SUTHERLAND AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379192331",
"telephone_number": "865-951-2975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "SUSAN",
"credential": "ACCUDETOX SPECIALIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-10",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TN",
"license": "156",
"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 Jan 10, 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.