Individual provider Active NPI

Norma Jean Smith Richcreek, FNP-BC

  • Nurse Practitioner
  • Smyrna, TN
National Provider Identifier
1063111029
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
33486 Issued in TN
Practice address
301 Wolverine TRL Ste 201
Smyrna, TN 37167-5656
Phone
(615) 768-5511
NPI assigned
Feb 28, 2023
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 33486 TN Primary

Addresses

Primary practice location

301 Wolverine TRL Ste 201
Smyrna, TN 37167-5656

Mailing address

301 Wolverine TRL Ste 201
Smyrna, TN 37167-5656
Phone (615) 768-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230316001751 TN Practitioner - Family Practice 2466826318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Motley Family Medical PLLCGroup PAC ID 3072847813, 2 clinicians

Practice addresses (Care Compare)

301 Wolverine TRL
Suite 201
Smyrna, TN 37167-5656
Phone (615) 768-5511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
33486TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Motley Family Medical PLLC CurrentSince Mar 2, 2023 Accepting new patients

Locations

301 Wolverine Trl
Ste 201
Smyrna, TN 37167
Phone (615) 220-0602

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1063111029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WOLVERINE TRL STE 201",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675656",
            "telephone_number": "615-768-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WOLVERINE TRL STE 201",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675656",
            "telephone_number": "615-768-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHCREEK",
        "first_name": "NORMA JEAN",
        "middle_name": "SMITH",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "33486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.