Individual provider Active NPI

Myrna Rachelle Smith, L.AC

  • Acupuncturist
  • Brentwood, TN
National Provider Identifier
1114254331
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU0362 Issued in TN
Practice address
1731 Mallory LN Ste 109
Brentwood, TN 37027-7986
Phone
(615) 953-1400
NPI assigned
Nov 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP 2723 FL
Acupuncturist 171100000X ACU0362 TN Primary

Addresses

Primary practice location

1731 Mallory LN Ste 109
Brentwood, TN 37027-7986

Mailing address

9661 Clovercroft Rd
Nolensville, TN 37135-9449
Phone (407) 267-1154

Other practice location 1

9661 Clovercroft Rd
Nolensville, TN 37135-9449
Phone (407) 267-1154

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

LicenseStateTypeSpecialty
AP 2723FLMDAcupuncturist
ACU0362TNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Modacu, PLLC Acupuncturist CurrentSince Jun 2, 2024 Accepting new patients
Meridian Acupuncture, PLLC Acupuncturist CurrentSince Mar 29, 2020 Accepting new patients
GC Ventures 1, LLC Acupuncturist CurrentSince Jun 2, 2024 Accepting new patients
Neil a Patterson, MD, PA Past Accepting new patients
Maxlife Health and Wellness Center Past Accepting new patients

Locations

1731 Mallory Ln
Ste 109
Brentwood, TN 37027
Phone (615) 552-1115

577 N Thompson Ln
Ste E
Murfreesboro, TN 37129
Phone (615) 235-5450

Organizations & group practices 5

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": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1114254331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9661 CLOVERCROFT RD",
            "city": "NOLENSVILLE",
            "state": "TN",
            "postal_code": "371359449",
            "telephone_number": "407-267-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 MALLORY LN STE 109",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277986",
            "telephone_number": "615-953-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9661 Clovercroft Rd",
            "address_purpose": "LOCATION",
            "city": "Nolensville",
            "state": "TN",
            "postal_code": "371359449",
            "country_code": "US",
            "telephone_number": "407-267-1154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MYRNA",
        "middle_name": "RACHELLE",
        "name_prefix": "Ms.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 2723",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TN",
            "license": "ACU0362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.