Active NPI
Julie Ann Lepeak, NURSE PRACTITIONER
- Psychiatric/Mental Health Nurse Practitioner
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 24934
- Practice address
- 601 Cumberland St
Chattanooga, TN 37404-1922 - Phone
- (423) 266-6751
- Fax
- (423) 763-4742
- NPI assigned
- Apr 30, 2018
- Last updated
- Mar 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 24934 | SC | Primary |
| Registered Nurse | 163W00000X | RN0000201924 | TN |
Addresses
Primary practice location
601 Cumberland St
Chattanooga, TN 37404-1922
Mailing address
362 N Pine St
Spartanburg, SC 29302-1631
Phone (864) 582-2817
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regenesis Organization Community Health Center
Practice addresses (Care Compare)
301 Crescent Ave
Spartanburg, SC 29306-4143
750 S Church St
Spartanburg, SC 29306-5348
Phone (864) 582-2411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000201924 | TN | MD | Registered Nurse |
| 24934 | SC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| American Medical Response of Tennessee, Inc. | Past | Accepting new patients | |
| Helen Ross McNabb Center | Past | Accepting new patients |
Locations
301 Crescent Ave
Spartanburg, SC 29306
Phone (864) 582-2817
460 Langdon St
Spartanburg, SC 29302
Phone (864) 582-2817
750 S Church St
Spartanburg, SC 29306
Phone (864) 582-2829
115 Thomas St
#B
Union, SC 29379
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1194710426
-
dba ReGenesis Health Care
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1457745952
-
dba Regenesis Community Health Center
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1548528714
-
dba Regenesis Health Center- Northside
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1558946376
-
- Federally Qualified Health Center (FQHC)
- Union, SC
- NPI 1982248852
-
dba Regenesis Health Care
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1457061087
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Knoxville, TN
- NPI 1659330686
-
dba American Medical Response
- Ambulance
- Horn Lake, MS
- NPI 1295108306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1154819662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "362 N PINE ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293021631",
"telephone_number": "864-582-2817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 CUMBERLAND ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374041922",
"telephone_number": "423-266-6751",
"fax_number": "423-763-4742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEPEAK",
"first_name": "JULIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-30",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SC",
"license": "24934",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN0000201924",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.