Kathryn Rea Smith, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

2226 Issued in TN

Practice address

679 Emory Valley Rd.
Suite B
Oak Ridge, TN 37830

Phone

(865) 212-5437

Fax

(865) 220-0782

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

Yes

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.

• Wayne E Tasker

  • Clinical Social Worker
  • Morristown, TN
  • NPI 1235273673
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

• Dr. Kathryn Elizabeth Rea Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 1, 2009.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241136000000",
    "number": "1144383100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 EMORY VALLEY ROAD",
            "address_2": "SUITE B",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "37830",
            "telephone_number": "865-212-5437",
            "fax_number": "865-220-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 EMORY VALLEY RD.",
            "address_2": "SUITE B",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "37830",
            "telephone_number": "865-212-5437",
            "fax_number": "865-220-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHRYN",
        "middle_name": "REA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2009-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TN",
            "license": "2226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "REA",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sleep Well East Tennessee PLLC
• Lee Alan Smalley, MD
• Garrison James Smith, DO
• George Edward Smith, M.D.
• James Robert Smith
• Katlyn Smith, FNP
• Kimberly R Smith, MSN, PNP
• Leland C Smith, M.D.
• Guy Lynwood Smoak IV, MD
• Aaron Joshua Smyth, D.O.

• All providers in Oak Ridge, TN
• Counseling Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.