Individual provider Active NPI

Shane D. Vore, PMHNP-BC

  • Psychiatry Physician
  • Johnson City, TN
National Provider Identifier
1689592297
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
42381 Issued in TN
Practice address
2700 S Roan St Ste 435
Johnson City, TN 37601-7587
Phone
(615) 236-2171
Fax
(423) 497-1483
NPI assigned
Jul 9, 2026
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 42381 TN Primary

Addresses

Primary practice location

2700 S Roan St Ste 435
Johnson City, TN 37601-7587

Mailing address

2700 S Roan St Ste 435
Johnson City, TN 37601-7587
Phone (615) 236-2171

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

NPI Registry JSON

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1689592297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S ROAN ST STE 435",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376017587",
            "telephone_number": "615-236-2171",
            "fax_number": "423-497-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S ROAN ST STE 435",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376017587",
            "telephone_number": "615-236-2171",
            "fax_number": "423-497-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORE",
        "first_name": "SHANE",
        "middle_name": "D.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "42381",
            "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 Sep 16, 2026; 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.