Individual provider Active NPI

Kasey Smith, FNP-BC

  • Family Nurse Practitioner
  • Morristown, TN
National Provider Identifier
1194440867
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32662 Issued in TN
Practice address
1907 W Morris Blvd Ste G
Morristown, TN 37813-3866
Phone
(423) 581-5925
NPI assigned
Oct 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 32662 TN Primary

Addresses

Primary practice location

1907 W Morris Blvd Ste G
Morristown, TN 37813-3866

Mailing address

1907 W Morris Blvd
Morristown, TN 37813-3860
Phone (423) 318-0014

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
I20221116001485 TN Practitioner - Nurse Practitioner 0042688475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthstar Physicians PCGroup PAC ID 5890690978, 89 clinicians

Practice addresses (Care Compare)

420 W Morris Blvd
Morristown, TN 37813-2282

420 W Morris Blvd
Suite 400H
Morristown, TN 37813-2283
Phone (423) 586-4545

657 E Broadway Blvd
Suite a
Jefferson City, TN 37760-4949
Phone (865) 475-9062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians PC CurrentSince Nov 1, 2022 Accepting new patients
Healthstar Physicians, P.C. CurrentSince Nov 1, 2022 Accepting new patients
East Tennessee Primary Care Associates Past Accepting new patients

Locations

657 E Broadway Blvd
Ste C
Jefferson Cty, TN 37760
Phone (423) 586-1717

420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443

1907 W Morris Blvd
Morristown, TN 37813
Phone (423) 318-0014

1907 W Morris Blvd
Ste G
Morristown, TN 37813
Phone (423) 318-0014

Interoperability endpoints

  • Direct secure messaging: kasey.smith.1@3525.direct.athenahealth.com

Organizations & group practices 3

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": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1194440867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 W MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378133860",
            "telephone_number": "423-318-0014",
            "fax_number": "423-318-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 W MORRIS BLVD STE G",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378133866",
            "telephone_number": "423-581-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KASEY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.