Body Mind Realign Inc

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

Legal business name

BODY MIND REALIGN INC

Practice address

7423 S Northshore Dr
Knoxville, TN 37919-8823

Phone

(865) 455-1750

Fax

(865) 305-8889

NPI assigned

Aug 8, 2024

Last updated

Aug 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jane George, DCNPI 1669644324

Title

Owner

Phone

(310) 733-7101

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jane Anne George, DC

  • Nutrition Chiropractor
  • Knoxville, TN
  • NPI 1669644324
  NPD Authorized official

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1942031372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5107 SHADY DELL TRL",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379145178",
            "telephone_number": "310-733-7101",
            "fax_number": "865-305-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7423 S NORTHSHORE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379198823",
            "telephone_number": "865-455-1750",
            "fax_number": "865-305-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY MIND REALIGN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-733-7101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Boddy, PSY.D.
• Ryan Boddy, PHD
• Marc A. Bodenheimer, M.D.
• Danielle Bodey
• Shannon R Bodiford, FNP-BC
• Aimee Boer
• Matthew Bogardus
• Cynthia Boger, OD
• Kelly Patrice Boggan, MD
• Jonathan Aaron Boggs, SOCIAL WORKER

• Internist Chiropractor in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Internist Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.