Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TASHA DEVEREAUX
NPI 1467376905
Nurse Practitioner in Johnson City, TN

Q: What is Tasha Devereaux's NPI number?

The NPI number for Tasha Devereaux is 1467376905. It was assigned to this individual provider in the NPPES registry on August 6, 2026.

Q: What is Tasha Devereaux's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Tasha Devereaux was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 06, 2026

400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 431-6111 Get Directions Write a Review

NPPES record added: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tasha Devereaux NPPES

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

TASHA DEVEREAUX (NPI 1467376905) is an individual nurse practitioner in Johnson City, Tennessee, licensed in Tennessee (40488) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1467376905

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTASHA DEVEREAUX

Location Address400 N STATE OF FRANKLIN RDJohnson City, TN 37604-6035

Mailing Address717 Poplar StElizabethton, TN 37643-2152 · (423) 782-7994

Phone(423) 431-6111

Sole ProprietorNo

Enumeration DateAugust 6, 2026

NPPES CertifiedAugust 6, 2026

✔ NPI 1467376905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 40488

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

400 N STATE OF FRANKLIN RD, Johnson City, TN 37604

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Other Providers at the Same Location NPPES 20

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

DR. CASEY JAMES WILBERT PHARM.D

Pharmacist

400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

Washington County (423) 431-2787

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Internal Medicine (Cardiovascular Disease)

400 N STATE OF FRANKLIN RD, ROOM LK015
JOHNSON CITY, TN 37604

Washington County (423) 431-5965

MITCHELL DESHAZER

Internal Medicine (Critical Care Medicine)

400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604

Washington County (423) 431-2727

DR. ANDREW LEE GIBSON MD

Emergency Medicine

400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

Washington County (423) 431-6111

MCKENZIE PEARL GREGG PA-C, MMS, MPH

Physician Assistant

400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

Washington County (423) 431-6111

OLUWATOSIN ORIOLA AYANJOKE MD

Family Medicine

400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

Washington County (423) 431-6111

HUNTER DORTON

Student in an Organized Health Care Education/Training Program

400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

Washington County (423) 431-6111

DR. LEON CHARLES BASS M.D.

Internal Medicine (Pulmonary Disease)

400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604

Washington County (423) 431-2727

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 Tasha Devereaux's NPI number?

The NPI number for Tasha Devereaux is 1467376905. It was assigned to this individual provider in the NPPES registry on August 6, 2026.

Where is Tasha Devereaux located?

Tasha Devereaux practices at 400 N State Of Franklin Rd, Johnson City, TN 37604. The listed phone number is (423) 431-6111.

What is Tasha Devereaux's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Tasha Devereaux was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.