Active NPI
Jillian R Smith, CRNA
- Certified Registered Nurse Anesthetist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 24669
- Practice address
- 1265 Union Ave
Memphis, TN 38104-3415 - Phone
- (901) 725-5846
- NPI assigned
- May 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 189649 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 24669 | TN | Primary |
Addresses
Primary practice location
1265 Union Ave
Memphis, TN 38104-3415
Mailing address
6060 Primacy Pkwy Ste 241
Memphis, TN 38119-5743
Phone (901) 725-5846
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, NC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 N Justice St
Hendersonville, NC 28791-3410
Phone (828) 696-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.75 of 100
- Quality
- 83.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 901617 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Anesthesia Group, PA | Current | Accepting new patients | |
| Resource Anesthesiology Associates of TN PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000
7580 Clarington Cv
Southaven, MS 38671
Phone (901) 259-1600
800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000
830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000
450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642
3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200
6060 E Primacy Pkwy
Ste 241
Memphis, TN 38119
Phone (901) 725-5846
1265 Union Ave
Ste 201
Memphis, TN 38104
Phone (901) 516-7000
1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700
7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290
1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362
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.
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
NC, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1316724073
MS, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hendersonville, NC
- NPI 1144247982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542758400000",
"number": "1235628785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6060 PRIMACY PKWY STE 241",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195743",
"telephone_number": "901-725-5846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 UNION AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043415",
"telephone_number": "901-725-5846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JILLIAN",
"middle_name": "R",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-09",
"last_updated": "2018-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "189649",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "24669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.