Active NPI
Arthur Winfield Stair, SPC
- Psychologist
- Johnson, TN
National Provider Identifier
1760739197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 11710
- Practice address
- 207 N Boone St Ste 1200
Johnson, TN 37604 - Phone
- (423) 928-8001
- Fax
- (423) 928-8007
- NPI assigned
- Aug 3, 2012
- Last updated
- Aug 3, 2012
- Sex
- Male
- 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 | 11710 | TN | Primary |
Addresses
Primary practice location
207 N Boone St Ste 1200
Johnson, TN 37604
Mailing address
207 N Boone St Ste 1200
Johnson City, TN 37604-5693
Phone (423) 928-8001
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 |
|---|---|---|---|
| 11710 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1760739197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 N BOONE ST STE 1200",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376045693",
"telephone_number": "423-928-8001",
"fax_number": "423-928-8007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 N BOONE ST STE 1200",
"city": "JOHNSON",
"state": "TN",
"postal_code": "37604",
"telephone_number": "423-928-8001",
"fax_number": "423-928-8007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAIR",
"first_name": "ARTHUR",
"middle_name": "WINFIELD",
"credential": "SPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-03",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "11710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.