MEIRA YASIN (NPI# 1558806745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558806745 |
| Entity Type | Individual |
| Full Name | MEIRA YASIN |
| Practice Address |
365 Stout Drive Suite 160 Johnson City TN 37614-1703 |
| Mailing Address |
Po Box 52391 Knoxville TN 37950-2391 |
| Practice Telephone | 4234336057 |
| Practice Fax Number | 4234336060 |
| Mailing Telephone | 8653847476 |
| Mailing Fax Number | 8653811205 |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2018-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 22082 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
22082 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | STATE LICENSE | 22082 | 01 |
| TN | Q027675 | 05 |
| Street Address |
365 STOUT DRIVE SUITE 160 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37614-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568570273 | East Tennessee State University | Nurse Practitioner | 365 Stout Drive, Nicks Hall Rm 160, Johnson City, TN 37614-6500 | 2006-08-25 |
| 1639696784 | Talisha Ettina Leeann Troutt | Nurse Practitioner | 365 Stout Drive, Suite 160, Johnson City, TN 37614-3761 | 2017-08-29 |
| 1760883680 | Retha D Gentry | Nurse Practitioner | 365 Stout Drive, Nicks Hall Room 160, Johnson City, TN 37614-7114 | 2014-09-10 |
| 1679889356 | Amanda S Moorhouse | Nurse Practitioner | 365 Stout Drive, Johnson City, TN 37614-1703 | 2010-08-19 |
| 1487892220 | Donna C. Fraysier | Clinical Nurse Specialist | 365 Stout Drive, Nicks Hall, Room 160, Johnson City, TN 37614 | 2009-02-02 |
| 1083750590 | Stanley Lee Ridner IIi | Nurse Practitioner | 365 Stout Drive, Suite 160, Johnson City, TN 37614 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061887 | Jessica Marie Robinson | Pharmacist | Maple Avenue Building 7, Johnson City, TN 37614 | 2020-07-31 |
| 1881220697 | Rachel Miller Slough | Psychologist | 801 S Dossett Drive, Johnson City, TN 37614 | 2020-03-13 |
| 1326682493 | Yoshihiro Kojima | Specialist/Technologist | 127 W John Robert Bill Dr, Johnson City, TN 37614 | 2019-11-01 |
| 1205360104 | Charlotte Lynn Alexander | Student in an Organized Health Care Education/Training Program | Department of Obstetrics and Gynecology, 70569, Qcom Building 1, Room 307, Johnson City, TN 37614 | 2017-04-18 |
| 1679006787 | Joel Whipple | Student in an Organized Health Care Education/Training Program | Etsu - Building 1, 2nd Floor, Johnson City, TN 37614 | 2017-04-05 |
| 1497295711 | Charles Faust | Dental Hygienist | 1276 Gilbreath Dr, Johnson City, TN 37614 | 2017-03-06 |
| 1265889414 | Dyan Darang | Student in an Organized Health Care Education/Training Program | Etsu, Quillen College of Medicine, Psychiatry Residency Program, Box 70567, Johnson City, TN 37614 | 2016-05-18 |
| 1194170142 | Katharine Ann Lasher | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, Dogwood Ave, Building 1, Rm 249, East Tennessee State Univ. Quillen College of Medicine, Johnson City, TN 37614 | 2016-04-27 |
| 1992150189 | Nishika Shina Moradia | Student in an Organized Health Care Education/Training Program | East Tennessee State University Quillen College of Medi, Dogwood Ave, Building 1, Room 249, Johnson City, TN 37614 | 2016-04-26 |
| 1962884429 | Apurva Bansal | Student in an Organized Health Care Education/Training Program | 325 North State of Franklin, Johnson City, TN 37614 | 2015-06-22 |
| Find all providers in zip 37614 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801448584 | Christopher Zachary Witkowski | Nurse Practitioner | 8 Parwood Ct, Johnson City, TN 37601-2179 | 2019-07-12 |
| 1922068022 | Constance Sue Lackner-mullins | Nurse Practitioner | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2006-03-24 |
| 1932740941 | Denis Kipkemoi Rono | Nurse Practitioner | 2700 S Roan St Ste 425, Johnson City, TN 37601-7587 | 2019-10-01 |
| 1093281297 | Ernest David Maupin | Nurse Practitioner | 2151 Century Ln, Johnson City, TN 37604-4469 | 2018-10-16 |
| 1225588007 | Melissa Ann Taylor | Nurse Practitioner | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2016-10-05 |
| 1831554575 | Paige R Mullins | Nurse Practitioner | 2151 Century Ln, Johnson City, TN 37604-4469 | 2015-12-23 |
| 1902213275 | Jasmine Michelle Love | Nurse Practitioner | 403 N State of Franklin Rd, Johnson City, TN 37604-6034 | 2014-07-17 |
| 1194149229 | Terri E Schreiner | Nurse Practitioner | 365 Stout Dr. Suite 160, Johnson City, TN 37614-7114 | 2014-02-10 |
| 1720337264 | Kathrene Carter Brendell | Nurse Practitioner | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2012-08-30 |
| 1124387857 | Becca Jo Ward | Nurse Practitioner | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2012-05-15 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37614 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.