Individual provider Active NPI

Sheree Smith, ANP

  • Adult Health Nurse Practitioner
  • Eden Prairie, MN
National Provider Identifier
1164800629
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
19872 Issued in TN
Practice address
1 Health Dr
Eden Prairie, MN 55344-2955
Phone
(800) 561-0861
NPI assigned
May 15, 2015
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 271681 AZ
Adult Health Nurse Practitioner 363LA2200X 207012 OK
Adult Health Nurse Practitioner 363LA2200X 209025778 IL
Adult Health Nurse Practitioner 363LA2200X 19872 TN Primary
Adult Health Nurse Practitioner 363LA2200X 24196569 VA
Adult Health Nurse Practitioner 363LA2200X SP035186 PA
Gerontology Nurse Practitioner 363LG0600X 19872 TN

Addresses

Primary practice location

1 Health Dr
Eden Prairie, MN 55344-2955

Mailing address

1 Health Dr
Eden Prairie, MN 55344-2955
Phone (800) 561-0861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20260324002109 VA Order and Referring Only - Nurse Practitioner 4981995693

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19872TNMDEmergency Medicine Physician
271681AZMDAdult Health Nurse Practitioner
209025778ILMDAdult Health Nurse Practitioner
207012OKMDAdult Health Nurse Practitioner
SP035186PAMDAdult Health Nurse Practitioner
24196569VAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Dyersburg PLLC CurrentSince Feb 5, 2019 Accepting new patients
Landmark Medical of Tennessee PC CurrentSince Feb 13, 2023 Accepting new patients
Landmark Medical of Tennessee PC CurrentSince Feb 13, 2023 Accepting new patients
Physicians Quality Care PLLC PastSince Nov 1, 2010 Accepting new patients

Locations

7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112

210 Westwood Pl
Ste 110
Brentwood, TN 37027
Phone (615) 206-2462

2550 Parr Ave
Dyersburg, TN 38024
Phone (731) 325-5678

Interoperability endpoints

  • Direct secure messaging: ms_ssmit736@landmarkhealth-direct.org

Organizations & group practices 4

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": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1164800629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HEALTH DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442955",
            "telephone_number": "800-561-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTH DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442955",
            "telephone_number": "800-561-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHEREE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-15",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "271681",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "207012",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209025778",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "19872",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "24196569",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP035186",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "19872",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.