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DERETSA PERRY NP
NPI 1881147692
Nurse Practitioner - Family in Johnson City, TN

Active since July 28, 2016
310 N STATE OF FRANKLIN RD, SUITE 400, JOHNSON CITY, TN 37604(423) 979-6000(423) 979-6011 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deretsa Perry Np NPPES

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

DERETSA PERRY NP (NPI 1881147692) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (21518) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1881147692
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDERETSA PERRYCredential: NP
Location Address310 N STATE OF FRANKLIN RD, SUITE 400Johnson City, TN 37604-6008
Mailing Address310 N State Of Franklin Rd, Suite 400Johnson City, TN 37604-6008 · (423) 979-6000 · Fax (423) 979-6011
Phone(423) 979-6000
Fax(423) 979-6011
Sole ProprietorNo
Enumeration DateJuly 28, 2016
Last NPPES UpdateFebruary 21, 2017
✔ NPI 1881147692 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 · 21518
310 N STATE OF FRANKLIN RD, Johnson City, TN 37604
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Other Identifiers 3

MedicaidQ024107TN
Medicaid1881147692VA
Medicare PIN10350I4942TN

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.

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine
310 N STATE OF FRANKLIN RD, STE 301A
JOHNSON CITY, TN 37604
Washington County (423) 431-6816
AMANDA WORTHY
Physician Assistant
310 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (828) 216-9657
BLUE RIDGE MEDICAL MANAGEMENT
Surgery (Vascular Surgery)
310 N STATE OF FRANKLIN RD, SUITE 101B
JOHNSON CITY, TN 37604
Washington County (423) 929-7393
CARDIOPULMONARY SURGICAL CONSULTANTS PC
Surgery (Vascular Surgery)
310 N STATE OF FRANKLIN RD, STE 101
JOHNSON CITY, TN 37604
Washington County (423) 929-7393
ENDOSCOPY CENTER OF NORTHEAST TENNESSEE, PC
Clinic/Center (Ambulatory Surgical)
310 N STATE OF FRANKLIN RD, SUITE 202
JOHNSON CITY, TN 37604
Washington County (423) 929-7111
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Thoracic Surgery (Cardiothoracic Vascular Surgery)
310 N STATE OF FRANKLIN RD, SUITE 101
JOHNSON CITY, TN 37604
Washington County (423) 929-7393
DR. JASON DEWAYNE MCKINNEY D.O.
Internal Medicine (Gastroenterology)
310 N STATE OF FRANKLIN RD, SUITE 202
JOHNSON CITY, TN 37604
Washington County (423) 929-7111
TRINITY CANCER CARE, P.C.
Internal Medicine (Medical Oncology)
310 N STATE OF FRANKLIN RD, SUITE 401
JOHNSON CITY, TN 37604
Washington County (423) 926-3611

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 Deretsa Perry's NPI number?

The NPI number for Deretsa Perry is 1881147692. It was assigned to this individual provider in the NPPES registry on July 28, 2016.

Where is Deretsa Perry located?

Deretsa Perry practices at 310 N State Of Franklin Rd Suite 400, Johnson City, TN 37604. The listed phone number is (423) 979-6000.

What is Deretsa Perry'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 Deretsa Perry was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.