Individual provider Active NPI

Melissa M Smith, NP

  • Adult Health Nurse Practitioner
  • La Follette, TN
National Provider Identifier
1376791913
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN13598 Issued in TN
Practice address
136 Davis LN
La Follette, TN 37766-3118
Phone
(423) 562-0760
Fax
(423) 566-8004
NPI assigned
Sep 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN13598 TN Primary

Addresses

Primary practice location

136 Davis LN
La Follette, TN 37766-3118

Mailing address

136 Davis LN
La Follette, TN 37766-3118
Phone (423) 562-0760

Other practice location 1

3001 Lake Brook Blvd Ste 101
Knoxville, TN 37909-3761
Phone (865) 374-0600

Other identifiers 1

IdentifierTypeStateIssuer
Q019203MedicaidTN

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
I20081030000159 TN Practitioner - Nurse Practitioner 2860551280 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

136 Davis LN
La Follette, TN 37766-3118
Phone (423) 562-0760

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13598TNMDMassage Therapist
APN13598TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Homecare CurrentSince Aug 1, 2022 Accepting new patients
Covenant Homecare CurrentSince Aug 1, 2022 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients
Alignmed Medical Group, PC CurrentSince Aug 25, 2024 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Aug 11, 2015 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Aug 11, 2015 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Aug 30, 2024 Accepting new patients
Behavioral Medicine Institute PC PastSince Sep 23, 2012 Accepting new patients
Covenant Homecare Past Accepting new patients
Pain Consultants of East Tennessee, PLLC PastSince Aug 24, 1998 Accepting new patients

Locations

257 Patton Ln
Harriman, TN 37748
Phone (865) 354-3941

3003 Lake Brook Blvd
Ste 101
Knoxville, TN 37909

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

136 Davis Ln
La Follette, TN 37766
Phone (423) 562-0760

215 Richardson Way
Maynardville, TN 37807
Phone (423) 992-5816

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1376791913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 DAVIS LN",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663118",
            "telephone_number": "423-562-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 DAVIS LN",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663118",
            "telephone_number": "423-562-0760",
            "fax_number": "423-566-8004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Lake Brook Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379093761",
            "country_code": "US",
            "telephone_number": "865-374-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MELISSA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN13598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q019203",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Follette, TN

Sources for this page

Verify at the official NPI Registry.