Active NPI
Kirsten Marie Smith
- Nurse's Aide
- Sevierville, TN
National Provider Identifier
1073933693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 00163469
- Practice address
- 719 Middle Creek Rd
Sevierville, TN 37862-5016 - Phone
- (865) 453-1032
- NPI assigned
- Apr 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 00163469 | TN | Primary |
Addresses
Primary practice location
719 Middle Creek Rd
Sevierville, TN 37862-5016
Mailing address
719 Middle Creek Rd
Sevierville, TN 37862-5016
Phone (865) 453-1032
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00163469 | TN | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1073933693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 MIDDLE CREEK RD",
"city": "SEVIERVILLE",
"state": "TN",
"postal_code": "378625016",
"telephone_number": "865-453-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 MIDDLE CREEK RD",
"city": "SEVIERVILLE",
"state": "TN",
"postal_code": "378625016",
"telephone_number": "865-453-1032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KIRSTEN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-22",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "TN",
"license": "00163469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sevierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.