Active NPI
Dianna Smith, MSN, PMHNP-BC, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Bell Buckle, TN
National Provider Identifier
1083318752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 33579
- Practice address
- 1104 Lotto LN
Bell Buckle, TN 37020-6086 - Phone
- (615) 582-3313
- NPI assigned
- Mar 28, 2023
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 33579 | TN | Primary |
Addresses
Primary practice location
1104 Lotto LN
Bell Buckle, TN 37020-6086
Mailing address
1104 Lotto LN
Bell Buckle, TN 37020-6086
Phone (615) 582-3313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brave Health Medical Group PA | Current | Accepting new patients |
Locations
1951 NW 7th Ave
Ste 300
Miami, FL 33136
Phone (305) 699-3101
Interoperability endpoints
- dianna.smith.1@32853.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1083318752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 LOTTO LN",
"city": "BELL BUCKLE",
"state": "TN",
"postal_code": "370206086",
"telephone_number": "615-582-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 LOTTO LN",
"city": "BELL BUCKLE",
"state": "TN",
"postal_code": "370206086",
"telephone_number": "615-582-3313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DIANNA",
"credential": "MSN, PMHNP-BC, ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-28",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "33579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bell Buckle, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.