Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

SHAE PETERS
NPI 1003738279
Nurse Practitioner - Family in Kingsport, TN

Active since July 28, 2026
2002 BROOKSIDE DR STE 102, KINGSPORT, TN 37660(423) 245-6000(423) 245-4190 Get Directions Write a Review

NPPES record added: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shae Peters NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAE PETERS (NPI 1003738279) is an individual family provider in Kingsport, Tennessee, licensed in Tennessee (42643) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1003738279
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHAE PETERS
Location Address2002 BROOKSIDE DR STE 102Kingsport, TN 37660-4634
Mailing Address2002 Brookside Dr Ste 102Kingsport, TN 37660-4634 · (423) 245-6000 · Fax (423) 245-4190
Fax(423) 245-4190
Sole ProprietorNo
Enumeration DateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
NPI 1003738279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 42643
2002 BROOKSIDE DR STE 102, Kingsport, TN 37660

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2002 BROOKSIDE DR STE 102
KINGSPORT, TN 37660
Nurse Practitioner (Adult Health)
2002 BROOKSIDE DR STE 102
KINGSPORT, TN 37660
Internal Medicine (Nephrology)
2002 BROOKSIDE DR STE 102
KINGSPORT, TN 37660
Nurse Practitioner (Family)
2002 BROOKSIDE DR STE 102
KINGSPORT, TN 37660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shae Peters's NPI number?

The NPI number for Shae Peters is 1003738279. It was assigned to this individual provider in the NPPES registry on July 28, 2026.

Where is Shae Peters located?

Shae Peters practices at 2002 Brookside Dr Ste 102, Kingsport, TN 37660. The listed phone number is (423) 245-6000.

What is Shae Peters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shae Peters was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.