Individual provider Active NPI

Sara Nelson, DC

  • Chiropractor
  • Knoxville, TN
National Provider Identifier
1891171187
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2529 Issued in TN
Practice address
7827 Montvue Center Way
Knoxville, TN 37919-5575
Phone
(865) 310-2296
NPI assigned
Aug 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 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 2529 TN Primary

Addresses

Primary practice location

7827 Montvue Center Way
Knoxville, TN 37919-5575

Mailing address

7827 Montvue Center Way
Knoxville, TN 37919-5575
Phone (865) 310-2296

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151124001776 TN Practitioner - Chiropractic 5799085726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freedom Chiropractic LLCGroup PAC ID 4880994813, 3 clinicians

Practice addresses (Care Compare)

7827 Montvue Ctr Way
Knoxville, TN 37919-5575
Phone (865) 310-2296

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2529TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Chiropractic LLC Chiropractor CurrentSince Aug 27, 2015 Accepting new patients

Locations

7827 Montvue Center Way
Knoxville, TN 37919
Phone (865) 310-2296

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.

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1891171187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7827 MONTVUE CENTER WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195575",
            "telephone_number": "865-310-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7827 MONTVUE CENTER WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195575",
            "telephone_number": "865-310-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2529",
            "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 Aug 10, 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.