Ernest David Maupin, DNP, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

24833 Issued in TN

Practice address

2151 Century LN
Johnson City, TN 37604-4469

Phone

(423) 926-2500

Fax

(423) 926-5999

NPI assigned

Oct 16, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1093281297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 STOUT DRIVE",
            "address_2": "BOX 70403",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37614",
            "telephone_number": "423-433-6057",
            "fax_number": "423-433-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 CENTURY LN",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044469",
            "telephone_number": "423-926-2500",
            "fax_number": "423-926-5999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "391 Court Sq",
            "address_purpose": "LOCATION",
            "city": "Sneedville",
            "state": "TN",
            "postal_code": "37869",
            "country_code": "US",
            "telephone_number": "423-733-2121",
            "fax_number": "423-733-4563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "365 Stout Drive, Suite 160",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "37614",
            "country_code": "US",
            "telephone_number": "423-439-4225",
            "fax_number": "423-439-4560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Main St",
            "address_purpose": "LOCATION",
            "city": "Sneedville",
            "state": "TN",
            "postal_code": "378693041",
            "country_code": "US",
            "telephone_number": "423-733-2819",
            "fax_number": "423-733-8509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 W Fairview Ave",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376045611",
            "country_code": "US",
            "telephone_number": "423-439-7371",
            "fax_number": "423-439-7379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 S Shady St",
            "address_purpose": "LOCATION",
            "city": "Mountain City",
            "state": "TN",
            "postal_code": "376832021",
            "country_code": "US",
            "telephone_number": "423-727-1150",
            "fax_number": "423-727-1152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUPIN",
        "first_name": "ERNEST",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "24833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "24833",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Matney, PHARMD
• Kathleen Rachelle Matteson
• Kristine C Matthias, CCC-SLP
• Emilyn Wilson Mattice
• Carol M Maupin-Wheelock, PT,MBA,CERT. MDT
• Richard Christopher Maupin, PA-C
• Lurelle Louise Maxey, LPC
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Jennifer Maxson, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.