Andrea Lauren Smith Johnson, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

23135 Issued in TN

Practice address

310 N State of Franklin Rd Ste 202
Johnson City, TN 37604-6063

Phone

(423) 929-7111

Fax

(423) 929-9448

NPI assigned

Oct 17, 2017

Last updated

Feb 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

93.67 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

78.91

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gastrointestinal Associates of Northeast Tennessee, PC

  • Gastroenterology Physician
  • Johnson City, TN
  • NPI 1578529632
  Medicare reassignment NPD
• Unaka Internal Medicine, LLC

  • Internal Medicine Physician
  • Erwin, TN
  • NPI 1619904570
  NPD (past)

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1083125140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 MOUNTAIN VIEW CIR",
            "city": "HAMPTON",
            "state": "TN",
            "postal_code": "376583062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N STATE OF FRANKLIN RD STE 202",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046063",
            "telephone_number": "423-929-7111",
            "fax_number": "423-929-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH JOHNSON",
        "first_name": "ANDREA",
        "middle_name": "LAUREN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "23135",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "23135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3703470",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olga Slonopas, PHARM.D.
• Rachel Miller Slough, PHD
• Tayla Nicole Sluss
• Susan Smelcer
• Lindsey Nicole Smiley, DO
• Meagan Elizabeth Smith- Quisenberry, LPC
• Adam E Smith
• Alisa D. Smith, LPT
• Amanda Milan Smith, FNP
• Bert Jackson Smith, M.D.

• Primary Care Nurse Practitioner in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Primary Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.