Individual provider Active NPI

Debra J. Uncapher, FNP-BC

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1306062542
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN12680 Issued in TN
Practice address
1409 W Market St Ste 108
Johnson City, TN 37604-6005
Phone
(423) 833-0033
Fax
(423) 833-0031
NPI assigned
Apr 17, 2007
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0000060274 TN
Family Nurse Practitioner 363LF0000X APN12680 TN Primary
Family Medicine Physician 207Q00000X APN12680 TN

Addresses

Primary practice location

1409 W Market St Ste 108
Johnson City, TN 37604-6005

Mailing address

1409 W Market St Ste 108
Johnson City, TN 37604-6005
Phone (423) 833-0033

Other identifiers 1

IdentifierTypeStateIssuer
3341401MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071204000325 TN Practitioner - Nurse Practitioner 7315036043 Reassigns benefits to 1 organization
Practice locations: Johnson City, TN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Debra Jo UncapherGroup PAC ID 5092116384, 2 clinicians

Practice addresses (Care Compare)

1409 W Market St
Suite 108
Johnson City, TN 37604-6005
Phone (423) 833-0031

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN12680TNMDFamily Medicine Physician
0000060274TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Debra Jo Uncapher Family CurrentSince Sep 3, 2019 Accepting new patients

Locations

1409 W Market St
Ste 108
Johnson City, TN 37604
Phone (423) 833-0031

Interoperability endpoints

  • Direct secure messaging: debrauncapher@prestigefamilymedicine.kareodirect.com
  • Direct secure messaging: keli.t@prestigefamilymedicine.kareodirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1306062542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 W MARKET ST STE 108",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046005",
            "telephone_number": "423-833-0033",
            "fax_number": "423-833-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 W MARKET ST STE 108",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046005",
            "telephone_number": "423-833-0033",
            "fax_number": "423-833-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNCAPHER",
        "first_name": "DEBRA",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000060274",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN12680",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "APN12680",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3341401",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.