Active NPI
Cortina Smith, NP
- Family Nurse Practitioner
- Knoxville, TN
National Provider Identifier
1063616803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN5012597
- Practice address
- 9352 Park West Blvd
Knoxville, TN 37923-4325 - Phone
- (865) 373-1890
- NPI assigned
- Jun 14, 2007
- Last updated
- Jun 15, 2009
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN5012597 | TN | Primary |
Addresses
Primary practice location
9352 Park West Blvd
Knoxville, TN 37923-4325
Mailing address
3469 New Highway 68
Madisonville, TN 37354-5148
Phone (423) 351-1526
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APN5012597 | Other | TN | LICENSE NUMBER |
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 |
|---|---|---|---|
| APN5012597 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245024000000",
"number": "1063616803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3469 NEW HIGHWAY 68",
"city": "MADISONVILLE",
"state": "TN",
"postal_code": "373545148",
"telephone_number": "423-351-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9352 PARK WEST BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234325",
"telephone_number": "865-373-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CORTINA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2009-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN5012597",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "APN5012597",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.