Debra Jo Uncapher

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DEBRA JO UNCAPHER

Practice address

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

Phone

(423) 833-0033

Fax

(423) 833-0031

NPI assigned

May 27, 2021

Organization subpart

No

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

Authorized official

Name

Debra UncapherNPI 1306062542

Title

Owner

Phone

(423) 833-0033

Specialties & licenses 1

Addresses

Other names 1

• Prestige Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Debra J. Uncapher, FNP-BC

  • Family Nurse Practitioner
  • Johnson City, TN
  • NPI 1306062542
  Medicare reassignment Care Compare group NPD Authorized official
• Tiffany Charlotte Jenkins, FNP

  • Family Nurse Practitioner
  • Elizabethton, TN
  • NPI 1083846984
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1730755083",
    "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": {
        "organization_name": "DEBRA JO UNCAPHER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "UNCAPHER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-833-0033"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Breehan Summer Dean, MD
• Tyler C Dean, MD
• Deanna Jo Williamson
• Hannah Debarge
• Wesley Eric Debord, PTA
• Claire Decristofaro, MD
• Emma Caroline Deeds, OTD
• Zvjezdana Dekic-Djordjevic, M.D.
• Christopher Jordan Dela Houssaye, D.O.
• Emily Dell, M.D.

• Family Nurse Practitioner in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.