Active NPI
Patricia Diane Smith, N.P
- Adult Health Nurse Practitioner
- Nashville, TN
National Provider Identifier
1063451607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APN0000006987
- Practice address
- 1310 25TH Ave. S
Nashville, TN 37212 - Phone
- (615) 873-8170
- Fax
- (615) 873-8174
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APN0000006987 | TN | Primary |
Addresses
Primary practice location
1310 25TH Ave. S
Nashville, TN 37212
Mailing address
1310 25TH Ave. South
Nashville, TN 37212
Phone (615) 873-8170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3648710 | Medicaid | TN |
Other names 1
- Miss Patricia Diane Snow
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000006987 | TN | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1063451607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 25TH AVE. SOUTH",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37212",
"telephone_number": "615-873-8170",
"fax_number": "615-873-8174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 25TH AVE. S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37212",
"telephone_number": "615-873-8170",
"fax_number": "615-873-8174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "PATRICIA",
"middle_name": "DIANE",
"name_prefix": "Ms.",
"credential": "N.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TN",
"license": "APN0000006987",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3648710",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "SNOW",
"middle_name": "DIANE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.