Beverly Kay Smith, NP

Individual provider Active NPI Family Nurse Practitioner · Adams, TN

NPI 1013983808 · NPPES record last updated Nov 2, 2022

Key facts

NPI
1013983808
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
APN0000007837 (TN)
Practice address
836 Dixie Bee Rd
Adams, TN 37010-9003
Phone
(931) 980-7328
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7837TNMDPhysical Therapist
APN0000007837TNMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000007837 TN Yes

Addresses

Primary practice location

836 Dixie Bee Rd
Adams, TN 37010-9003

Mailing address

836 Dixie Bee Rd
Adams, TN 37010-9003

Other identifiers

IdentifierTypeStateIssuer
1527336MedicaidTN

Other providers in Adams, TN

All providers in Adams, TN · Family Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.