Individual provider Active NPI

Katlyn Smith, FNP

  • Family Nurse Practitioner
  • Oak Ridge, TN
National Provider Identifier
1114406105
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24357 Issued in TN
Practice address
801 Oak Ridge Turnpike
Oak Ridge, TN 37830-1424
Phone
(865) 483-3172
NPI assigned
Aug 9, 2018
Last updated
Oct 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24357 TN Primary

Addresses

Primary practice location

801 Oak Ridge Turnpike
Oak Ridge, TN 37830-1424

Mailing address

1275 Dick Lonas Rd
Knoxville, TN 37909
Phone (865) 584-4747

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191113000282 TN Practitioner - Nurse Practitioner 5092147082 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24357TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care of Tennessee LLC CurrentSince Mar 20, 2024 Accepting new patients
DX Mso, PLLC CurrentSince Jun 28, 2022 Accepting new patients
Summit Medical Group PLLC CurrentSince Sep 30, 2019 Accepting new patients
Elder Care of Knoxville, LLC Family CurrentSince Aug 25, 2019 Accepting new patients
SHC Medical Partners of Tennessee, LLC CurrentSince Oct 7, 2023 Accepting new patients
Summit Medical Group, PLLC CurrentSince Sep 30, 2019 Accepting new patients
Cogent Healthcare of Tennessee, PC CurrentSince Oct 4, 2023 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jan 14, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jan 14, 2024 Accepting new patients

Locations

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

1025 Peerless Xing NW
Cleveland, TN 37312
Phone 4234765990 ext. 104

2750 Executive Park NW
Cleveland, TN 37312
Phone (423) 472-4444

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

6108 Kingston Pike
Knoxville, TN 37919
Phone (423) 458-1426

1250 Farrow Rd
Memphis, TN 38116
Phone (901) 305-0878

919 Medical Park Dr
Mountain City, TN 37683
Phone (423) 727-7800

801 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 482-4088

415 Cole Dr
Pigeon Forge, TN 37863
Phone (865) 428-5454

201 E Emory Rd
Powell, TN 37849
Phone (865) 938-3627

331 Hinch St
Spring City, TN 37381
Phone (423) 365-4355

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1114406105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37909",
            "telephone_number": "865-584-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OAK RIDGE TURNPIKE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378301424",
            "telephone_number": "865-483-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATLYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.