Active NPI
Jill Stinson, PH.D.
- Psychologist
- Johnson City, TN
National Provider Identifier
1720261316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2007020134
- Practice address
- 166 Derosier Dr
Johnson City, TN 37614-5200 - Phone
- (423) 439-7777
- Fax
- (423) 439-7780
- NPI assigned
- Dec 6, 2007
- Last updated
- Aug 23, 2019
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2007020134 | MO | Primary |
Addresses
Primary practice location
166 Derosier Dr
Johnson City, TN 37614-5200
Mailing address
PO Box 699
Mountain Home, TN 37684-0699
Phone (423) 433-6039
Other practice location 1
600 E 5th St
Fulton, MO 65251-1753
Phone (573) 592-2690
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
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1720261316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 699",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "376840699",
"telephone_number": "423-433-6039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 DEROSIER DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376145200",
"telephone_number": "423-439-7777",
"fax_number": "423-439-7780"
}
],
"practiceLocations": [
{
"address_1": "600 E 5th St",
"address_purpose": "LOCATION",
"city": "Fulton",
"state": "MO",
"postal_code": "652511753",
"country_code": "US",
"telephone_number": "573-592-2690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STINSON",
"first_name": "JILL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-06",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "2007020134",
"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 Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.