Stephanie K Smith, FNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

30013 Issued in TN

Practice address

1787 Veterans Blvd
Sevierville, TN 37862-6945

Phone

(865) 255-7543

Fax

(865) 428-4767

NPI assigned

Jul 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chuc, LLC

  • Urgent Care Clinic/Center
  • Alcoa, TN
  • NPI 1396777595

  Family, TN

  Medicare reassignment Care Compare group NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  TN

  Medicare reassignment NPD
• Summit Medical Group, PLLC

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1659090298

  TN

  Medicare reassignment NPD
• Sweetwater Hospital Association

  • Obstetrics & Gynecology Physician
  • Sweetwater, TN
  • NPI 1558995399

  Family, TN

  Medicare reassignment NPD
• Well-Key Health, PLLC

  • Urgent Care Clinic/Center
  • Sevierville, TN
  • NPI 1114234382

  TN

  Medicare reassignment NPD
• Summit Medical Group,PLLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1285199109
  NPD
• Sweetwater Hospital Association

  • Rural Health Clinic/Center
  • Sweetwater, TN
  • NPI 1205659711
  NPD
• Abercrombie Radiological Consultants Inc

  • Diagnostic Radiology Physician
  • Knoxville, TN
  • NPI 1942207154
  NPD (past)
• Summit Medical Group PLLC

  • Family Medicine Physician
  • Oak Ridge, TN
  • NPI 1437238797
  NPD (past)
• Summit Medical Group,PLLC

  • Internal Medicine Physician
  • Cookeville, TN
  • NPI 1588362164
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chuc, LLC 32 clinicians

Practice addresses (Care Compare)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699660800000",
    "number": "1285307900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 SAGEGRASS DR",
            "city": "LOUISVILLE",
            "state": "TN",
            "postal_code": "377773564",
            "telephone_number": "865-292-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 VETERANS BLVD",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626945",
            "telephone_number": "865-255-7543",
            "fax_number": "865-428-4767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2075 Hwy 411",
            "address_purpose": "LOCATION",
            "city": "Vonore",
            "state": "TN",
            "postal_code": "37885",
            "country_code": "US",
            "telephone_number": "423-884-2133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "304 Wright St",
            "address_purpose": "LOCATION",
            "city": "Sweetwater",
            "state": "TN",
            "postal_code": "378741181",
            "country_code": "US",
            "telephone_number": "865-213-8200",
            "fax_number": "423-884-2076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6606 Clinton Hwy",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379121016",
            "country_code": "US",
            "telephone_number": "865-429-4008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 Keller Ln",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378016201",
            "country_code": "US",
            "telephone_number": "865-205-9505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHANIE",
        "middle_name": "K",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2023-11-11",
        "certification_date": "2023-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "30013",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q069651",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Smiley
• Breanna Smith
• Kara Ann Smith, BSW
• Kirsten Marie Smith
• Nathan O. Smith, BA
• Steven M Smith, M.D.
• Smokey Mountain Audiology & Hearing AIDS Inc
• Smoky Mountain Children'S Home
• Smoky Mountain Home Infusion Inc
• Smoky Mountain Pharmacy

• All providers in Sevierville, TN
• Acute Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.