Individual provider Active NPI

Catherine Jean Pierce, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Johnson City, TN
National Provider Identifier
1689490187
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
0000114658 Issued in TN
Practice address
102 N Broadway St
Johnson City, TN 37601-3525
Phone
(423) 588-9978
Fax
(423) 722-3401
NPI assigned
Nov 29, 2024
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 0000114658 TN Primary

Addresses

Primary practice location

102 N Broadway St
Johnson City, TN 37601-3525

Mailing address

102 N Broadway St
Johnson City, TN 37601-3525
Phone (423) 588-9978

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0000114658TNMDAddiction (Substance Use Disorder) Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dragonfly Medical and Behavioral Health Professsional Corporation CurrentSince Dec 1, 2024 Accepting new patients
Dragfonfly Wellness Center PastSince Dec 1, 2024 Accepting new patients

Locations

102 N Broadway St
Johnson City, TN 37601
Phone (423) 328-8265

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1732838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1689490187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N BROADWAY ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013525",
            "telephone_number": "423-588-9978",
            "fax_number": "423-722-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N BROADWAY ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013525",
            "telephone_number": "423-588-9978",
            "fax_number": "423-722-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "CATHERINE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-29",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "0000114658",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 3, 2024; 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.