MR. WAYNE KEITH SHORTER II MED
NPI 1457455131
Counselor in Johnson City, TN

Active since September 12, 2006
109 W WATANGA AVE, JOHNSON CITY, TN 37604(423) 232-2700(423) 232-2714 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Wayne Keith Shorter Ii Med NPPES

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

MR. WAYNE KEITH SHORTER II MED (NPI 1457455131) is an individual counselor in Johnson City, Tennessee and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1457455131
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. WAYNE KEITH SHORTER IICredential: MED
Location Address109 W WATANGA AVEJohnson City, TN 37604
Mailing AddressPo Box 9054Gray, TN 37615-9054 · (423) 467-3600 · Fax (423) 467-3696
Fax(423) 232-2714
Sole ProprietorNo
Enumeration DateSeptember 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1457455131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
109 W WATANGA AVE, Johnson City, TN 37604

Other Providers at the Same Location NPPES

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

Counselor
109 W WATANGA AVE
JOHNSON CITY, TN 37604

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 Wayne Shorter's NPI number?

The NPI number for Wayne Shorter is 1457455131. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Wayne Shorter located?

Wayne Shorter practices at 109 W Watanga Ave, Johnson City, TN 37604. The listed phone number is (423) 232-2700.

What is Wayne Shorter's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Wayne Shorter was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.