Individual provider Active NPI

Julie Booher Smith, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1144558412
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
14372 Issued in TN
Practice address
317 N Hickory Ave
Cookeville, TN 38501-2428
Phone
(931) 528-7527
NPI assigned
Nov 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14372 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14372 TN Primary

Addresses

Primary practice location

317 N Hickory Ave
Cookeville, TN 38501-2428

Mailing address

317 N Hickory Ave
Cookeville, TN 38501-2428
Phone (931) 528-7527

Other names 1

  • Julie Brooke Booher Former name

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
I20100330000056 TN Practitioner - Nurse Practitioner 5890821896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diana Health TN, PCGroup PAC ID 4688065980, 56 clinicians

Practice addresses (Care Compare)

317 N Hickory Ave
Cookeville, TN 38501-2428
Phone (931) 528-7527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
14372TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Health TN, PC Psychiatric/Mental Health CurrentSince Nov 6, 2023 Accepting new patients
Jack M Rowland, MD, LLC Past Accepting new patients

Locations

1511 Gunbarrel Rd
Ste 111
Chattanooga, TN 37421
Phone (423) 553-5999

317 N Hickory Ave
Cookeville, TN 38501
Phone (931) 528-7527

2995 Miller Ave
Crossville, TN 38555
Phone (931) 787-1362

1101 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 553-5999

300 Stonecrest Blvd
Ste 330
Smyrna, TN 37167
Phone (615) 223-0416

300 Stonecrest Blvd
Ste 310
Smyrna, TN 37167
Phone (629) 206-6858

300 Northcrest Blvd Ste 302
Springfield, TN 37172

Interoperability endpoints

  • Direct secure messaging: julie.smith.1@23211.direct.athenahealth.com

Organizations & group practices 2

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": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1144558412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N HICKORY AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012428",
            "telephone_number": "931-528-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N HICKORY AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012428",
            "telephone_number": "931-528-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JULIE",
        "middle_name": "BOOHER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14372",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "14372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "BOOHER",
            "middle_name": "BROOKE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.