Audree Detwiler, FNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

43095 Issued in TN

Practice address

3019 Peoples St Unit 300
Johnson City, TN 37604-1978

Phone

(423) 461-2100

NPI assigned

Jun 18, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holston Medical Group PC

  • Family Medicine Physician
  • Kingsport, TN
  • NPI 1831110667
  NPD (past)
• Holston Medical Group, PC

  • Sports Medicine (Internal Medicine) Physician
  • Johnson City, TN
  • NPI 1205554664
  NPD (past)

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1861327991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 PEOPLES ST UNIT 300",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 PEOPLES ST UNIT 300",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041978",
            "telephone_number": "423-461-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETWILER",
        "first_name": "AUDREE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "43095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Deshazer
• Aniruddha Deshkulkarni, PHARMACIST
• Kiran M Deshmukh, MD
• Natalie Deto
• Robert J Detroye, MD
• Kelsey B Devault, NP
• Kalli Lyn Devecki, D.O.
• Tasha Devereaux
• Elaine L Devos
• Megan Dew, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.