Organization Active NPI

Jwschepersmd

  • Psychiatry Physician
  • Johnson City, TN
National Provider Identifier
1487071171
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
39325 Issued in TN
Legal business name
JWSCHEPERSMD
Doing business as
Oasis Psychiatry and Counseling, LLC
Practice address
207 N Boone St
Suite 28
Johnson City, TN 37604-5675
Phone
(423) 930-8390
Fax
(888) 965-5582
NPI assigned
Mar 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Authorized official

Name
Dr. Jennifer Wisdom-Schepers, M.D.NPI 1447264361
Title
Administrator/Psychiatrist
Phone
(423) 930-8390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 39325 TN Primary

Addresses

Primary practice location

207 N Boone St
Suite 28
Johnson City, TN 37604-5675

Mailing address

207 N Boone St
Suite 28
Johnson City, TN 37604-5675
Phone (423) 930-8390

Other identifiers 1

IdentifierTypeStateIssuer
30006764OtherTNMEDICARE PTAN

Other names 1

  • Oasis Psychiatry and Counseling, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

207 N Boone St
Ste 28
Johnson City, TN 37604
Phone (423) 930-8390

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1487071171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N BOONE ST",
            "address_2": "SUITE 28",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045675",
            "telephone_number": "423-930-8390",
            "fax_number": "888-965-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N BOONE ST",
            "address_2": "SUITE 28",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045675",
            "telephone_number": "423-930-8390",
            "fax_number": "888-965-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JWSCHEPERSMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "WISDOM-SCHEPERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR/PSYCHIATRIST",
        "authorized_official_telephone_number": "423-930-8390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "39325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "30006764",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasis Psychiatry and Counseling, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 30, 2014; 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.