Active NPI
Jamie Lynn Shearer, CPRS
- Peer Specialist
- Clarksville, TN
National Provider Identifier
1730935586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 001402886
- Practice address
- 508 Ruby Dr
Clarksville, TN 37040-5924 - Phone
- (931) 249-3482
- NPI assigned
- Apr 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 001402886 | TN | Primary |
Addresses
Primary practice location
508 Ruby Dr
Clarksville, TN 37040-5924
Mailing address
508 Ruby Dr
Clarksville, TN 37040-5924
Phone (931) 249-3482
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001402886 | TN | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1730935586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 RUBY DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370405924",
"telephone_number": "931-249-3482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 RUBY DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370405924",
"telephone_number": "931-249-3482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEARER",
"first_name": "JAMIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "CPRS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-24",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "TN",
"license": "001402886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.