Individual provider Active NPI

Christy J Smith, APN

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1316117013
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13305 Issued in TN
Practice address
2408 Susannah St Ste 1
Johnson City, TN 37601-1765
Phone
(423) 434-6670
Fax
(423) 461-0000
NPI assigned
Mar 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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 13305 TN Primary

Addresses

Primary practice location

2408 Susannah St Ste 1
Johnson City, TN 37601-1765

Mailing address

4600 Fort Henry Dr
Kingsport, TN 37663-2617
Phone (423) 224-3950

Other practice location 1

378 Marketplace Dr Ste 5
Johnson City, TN 37604-2361
Phone (423) 282-0751

Other practice location 2

4600 Fort Henry Dr
Kingsport, TN 37663
Phone (423) 224-3950

Other practice location 3

301 Med Tech Pkwy Ste 120
Johnson City, TN 37604-2631
Phone (423) 794-5590

Other practice location 4

137 Court St SE
Abingdon, VA 24210-3305
Phone (276) 477-1400

Other identifiers 2

IdentifierTypeStateIssuer
1316117013MedicaidVA
3341759MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080505000690 TN Practitioner - Nurse Practitioner 2163501941 Reassigns benefits to 1 organization
I20130816000739 VA Practitioner - Nurse Practitioner 2163501941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
East Tennessee Recovery PLLCGroup PAC ID 9436434909, 19 clinicians

Practice addresses (Care Compare)

1662 Bonham Rd
Bristol, VA 24201-2090
Phone (276) 644-9899

2408 Susannah St
Suite 1
Johnson City, TN 37601-1765
Phone (423) 434-6677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Recovery, PLLC CurrentSince Jul 21, 2025 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Medical Associates, Inc. PastSince Jul 1, 2018 Accepting new patients
Blue Ridge Medical Management Corporation Past Accepting new patients

Locations

2408 Susannah St
Ste 1
Johnson City, TN 37601
Phone (423) 282-5054

2408 Susannah St
Johnson City, TN 37601
Phone (423) 434-6677

137 Court St SE
Abingdon, VA 24210
Phone (276) 477-1400

1662 Bonham Rd
Bristol, VA 24201
Phone (276) 644-9899

19380 US Highway 58
Castlewood, VA 24224
Phone (276) 762-2172

18948 US Highway 58
Castlewood, VA 24224
Phone (276) 762-2172

1725 Park Ave SW
Norton, VA 24273
Phone (276) 409-5922

2011 2nd St
Richlands, VA 24641
Phone (276) 345-9900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1316117013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 FORT HENRY DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632617",
            "telephone_number": "423-224-3950",
            "fax_number": "423-224-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 SUSANNAH ST STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011765",
            "telephone_number": "423-434-6670",
            "fax_number": "423-461-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "378 Marketplace Dr Ste 5",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042361",
            "country_code": "US",
            "telephone_number": "423-282-0751",
            "fax_number": "423-282-1577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 Fort Henry Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "37663",
            "country_code": "US",
            "telephone_number": "423-224-3950",
            "fax_number": "423-224-3959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Med Tech Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042631",
            "country_code": "US",
            "telephone_number": "423-794-5590",
            "fax_number": "423-794-5877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "137 Court St SE",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242103305",
            "country_code": "US",
            "telephone_number": "276-477-1400",
            "fax_number": "276-477-1404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTY",
        "middle_name": "J",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "13305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316117013",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3341759",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.