Individual provider Active NPI

Robert Larry Smith, FNP-BC

  • Family Nurse Practitioner
  • West Memphis, AR
National Provider Identifier
1134450307
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005873 Issued in AR
Practice address
260D Shoppingway Blvd
West Memphis, AR 72301-7230
Phone
(901) 303-5040
NPI assigned
Jan 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000014593 TN
Family Nurse Practitioner 363LF0000X A005873 AR Primary
Public Health & General Preventive Medicine Physician 2083P0901X A005873 AR

Addresses

Primary practice location

260D Shoppingway Blvd
West Memphis, AR 72301-7230

Mailing address

5504 North St
Bartlett, TN 38134-3458
Phone (901) 382-0347

Other practice location 1

6100 Primacy Pkwy
Suite 112
Memphis, TN 38119-0705
Phone (901) 682-5335

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidTN

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
I20101006000437 TN Practitioner - Nurse Practitioner 8527191659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michael E Steuer, MD, PC 15 clinicians

Practice addresses (Care Compare)

146 Timber Creek Dr
Suite 200
Cordova, TN 38018-4474
Phone (901) 751-4112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14593TNMDPhysical Therapist
A005873ARMDFamily Nurse Practitioner
APN0000014593TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A.M.T. Urgent Care PLLC CurrentSince May 16, 2021 Accepting new patients
Michael E Steuer MD PC CurrentSince Jun 18, 2023 Accepting new patients
Cordova Pain Specialists, PLLC CurrentSince Sep 18, 2021 Accepting new patients
Michael E Steuer, MD, PC CurrentSince Jun 18, 2023 Accepting new patients
Memphis Pain Management Group, PC PastSince Oct 1, 2012 Accepting new patients
Midsouth Pain Treatment Center Past Accepting new patients
Wellness One Memphis PC Family PastSince Aug 1, 2017 Accepting new patients
Southeastern Emergency Services P C Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

260 Shoppingway Blvd
#D
West Memphis, AR 72301
Phone (901) 303-5040

122 Airways Pl
Southaven, MS 38671
Phone (662) 349-9426

146 Timber Creek Dr
Cordova, TN 38018
Phone (901) 249-7838

1540 Appling Care Ln
Ste 105
Cordova, TN 38016
Phone (901) 202-0733

146 Timber Creek Dr
Ste 200
Cordova, TN 38018
Phone (901) 751-4112

1004 Greystone Sq
Jackson, TN 38305
Phone (731) 664-1773

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECHDDD

Organizations & group practices 12

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": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1134450307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 NORTH ST",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343458",
            "telephone_number": "901-382-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260D SHOPPINGWAY BLVD",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723017230",
            "telephone_number": "901-303-5040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 Primacy Pkwy",
            "address_2": "Suite 112",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381190705",
            "country_code": "US",
            "telephone_number": "901-682-5335",
            "fax_number": "901-682-5440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "LARRY",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-27",
        "last_updated": "2021-05-04",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000014593",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005873",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "AR",
            "license": "A005873",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

Verify at the official NPI Registry.