Individual provider Active NPI

Dianna Smith, MSN, PMHNP-BC, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bell Buckle, TN
National Provider Identifier
1083318752
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
33579 Issued in TN
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

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231227003272 TN Practitioner - Nurse Practitioner 5395195705 Reassigns benefits to 2 organizations
I20240716002347 FL Practitioner - Nurse Practitioner 5395195705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Health Medical Group PA CurrentSince Jun 1, 2025 Accepting new patients

Locations

1951 NW 7th Ave
Ste 300
Miami, FL 33136
Phone (305) 699-3101

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.