Individual provider Active NPI

Deanie Eilee Wade-Smith, APN, NP-C

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1316356454
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
19158 Issued in TN
Practice address
3960 New Covington Pike
Memphis, TN 38128-2504
Phone
(901) 516-5741
Fax
(901) 516-5986
NPI assigned
Aug 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 19158 TN Primary

Addresses

Primary practice location

3960 New Covington Pike
Memphis, TN 38128-2504

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other practice location 1

1265 Union Ave
Memphis, TN 38104-3415
Phone (901) 516-2362

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
I20150421002175 TN Practitioner - Nurse Practitioner 9032437199 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist North Emergency Physicians, PLLCGroup PAC ID 0941659247, 43 clinicians
Methodist Inpatient Physicians LLCGroup PAC ID 1254241235, 123 clinicians

Practice addresses (Care Compare)

3960 New Covington Pike
Memphis, TN 38128-2504
Phone (901) 516-5200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist University Emergency Physicians PLLC CurrentSince Dec 10, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 1, 2019 Accepting new patients
Methodist Healthcare Community Care Associates CurrentSince Aug 7, 2016 Accepting new patients
Carr PLLC CurrentSince Dec 1, 2015 Accepting new patients
Methodist South Emergency Physicians, PLLC CurrentSince Dec 10, 2023 Accepting new patients
Germantown Emergency Physicians, PLLC CurrentSince Dec 10, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 1, 2019 Accepting new patients
T M Carr MD PC Nurse Practitioner CurrentSince Apr 16, 2017 Accepting new patients
Methodist North Emergency Physicians, PLLC CurrentSince Dec 10, 2023 Accepting new patients
Methodist Inpatient Physicians LLC CurrentSince Jun 1, 2020 Accepting new patients
Methodist Healthcare Community Care Associates Current Accepting new patients
Methodist Healthcare Community Care Associates CurrentSince Aug 7, 2016 Accepting new patients
Adult Primary Care of Memphis PC Past Accepting new patients
Precision Healthcare, Inc. Past Accepting new patients

Locations

8035 Club Pkwy
Cordova, TN 38016
Phone (901) 758-6035

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

Interoperability endpoints

  • Direct secure messaging: dwadesmith25536@mlh.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1406937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1316356454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 NEW COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282504",
            "telephone_number": "901-516-5741",
            "fax_number": "901-516-5986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1265 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381043415",
            "country_code": "US",
            "telephone_number": "901-516-2362",
            "fax_number": "901-516-8254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE-SMITH",
        "first_name": "DEANIE",
        "middle_name": "EILEE",
        "name_prefix": "Mrs.",
        "credential": "APN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "19158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.