Individual provider Active NPI

Reagan Begley Smythe, BSN-RN

  • School Registered Nurse
  • Johnson City, TN
National Provider Identifier
1053172932
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
255505 Issued in TN
Practice address
2303 Indian Ridge Rd
Johnson City, TN 37604-4282
Phone
(423) 328-8476
NPI assigned
Jan 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 255505 TN Primary

Addresses

Primary practice location

2303 Indian Ridge Rd
Johnson City, TN 37604-4282

Mailing address

2208 Swannanoa Ave
Kingsport, TN 37664-3631
Phone (423) 765-7570

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
255505TNMDSchool Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1053172932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 SWANNANOA AVE",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376643631",
            "telephone_number": "423-765-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 INDIAN RIDGE RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044282",
            "telephone_number": "423-328-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYTHE",
        "first_name": "REAGAN",
        "middle_name": "BEGLEY",
        "name_prefix": "Mrs.",
        "credential": "BSN-RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "TN",
            "license": "255505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.