Active NPI
Robert Larry Smith, FNP-BC
- Family Nurse Practitioner
- West Memphis, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A005873
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | TN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14593 | TN | MD | Physical Therapist |
| A005873 | AR | MD | Family Nurse Practitioner |
| APN0000014593 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A.M.T. Urgent Care PLLC | Current | Accepting new patients | |
| Michael E Steuer MD PC | Current | Accepting new patients | |
| Cordova Pain Specialists, PLLC | Current | Accepting new patients | |
| Michael E Steuer, MD, PC | Current | Accepting new patients | |
| Memphis Pain Management Group, PC | Past | Accepting new patients | |
| Midsouth Pain Treatment Center | Past | Accepting new patients | |
| Wellness One Memphis PC | Family | Past | 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
- 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.
-
- Occupational Medicine Clinic/Center
- West Memphis, AR
- NPI 1942883665
-
- Specialist
- Jackson, TN
- NPI 1114276052
-
- Interventional Pain Medicine Physician
- Southaven, MS
- NPI 1073652160
-
- Specialist
- Tupelo, MS
- NPI 1922585629
-
- Specialist
- Oxford, MS
- NPI 1124348545
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
- Sports Medicine (Family Medicine) Physician
- Memphis, TN
- NPI 1437449170
-
- Ambulatory Surgical Clinic/Center
- Southaven, MS
- NPI 1518963123
-
- Nurse Practitioner
- Athens, TN
- NPI 1669414264
-
- Sports Medicine (Family Medicine) Physician
- Memphis, TN
- NPI 1124497730
Family
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.