Active NPI
Terri E Schreiner
- Psychiatric/Mental Health Nurse Practitioner
- Johnson City, TN
National Provider Identifier
1194149229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 17809
- Practice address
- 365 Stout Dr. Suite 160
Johnson City, TN 37614-7114 - Phone
- (423) 439-4225
- Fax
- (423) 439-4560
- NPI assigned
- Feb 10, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 17809 | TN | Primary |
Addresses
Primary practice location
365 Stout Dr. Suite 160
Johnson City, TN 37614-7114
Mailing address
PO Box 70403
365 Stout Drive
Johnson City, TN 37614-1703
Phone (423) 439-4515
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17809 | Other | TN | ST LICENSE |
| 64771 | Other | TN | ST LICENSE |
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee State University | 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.
-
- Federally Qualified Health Center (FQHC)
- Johnson City, TN
- NPI 1477660199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493769600000",
"number": "1194149229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70403",
"address_2": "365 STOUT DRIVE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376141703",
"telephone_number": "423-439-4515",
"fax_number": "423-439-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 STOUT DR. SUITE 160",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376147114",
"telephone_number": "423-439-4225",
"fax_number": "423-439-4560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHREINER",
"first_name": "TERRI",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-10",
"last_updated": "2017-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "17809",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ST LICENSE",
"identifier": "17809",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ST LICENSE",
"identifier": "64771",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.