Individual provider Active NPI

Parker Riley Smith, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1457163735
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4034489 Issued in KY
Practice address
1143 Fairway St Ste 103
Bowling Green, KY 42103-2452
Phone
(812) 901-6881
Fax
(812) 285-8392
NPI assigned
Jan 23, 2025
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4034489 KY Primary

Addresses

Primary practice location

1143 Fairway St Ste 103
Bowling Green, KY 42103-2452

Mailing address

2342 Cave Mill Station Blvd Apt 932
Bowling Green, KY 42104-6264
Phone (615) 670-3510

Other practice location 1

1860 Wilma Rudolph Blvd Ste 127-V
Clarksville, TN 37040-6750
Phone (812) 901-6881

Other practice location 2

205 Chapman Dr
Lebanon, TN 37087-8448
Phone (615) 670-3510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 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
I20250326003537 TN Practitioner - Nurse Practitioner 4486177839 Reassigns benefits to 1 organization
I20250402001312 KY Practitioner - Nurse Practitioner 4486177839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lake Substance Abuse Solutions LLCGroup PAC ID 8123440401, 20 clinicians
Care2U, LLCGroup PAC ID 4385180306, 3 clinicians

Practice addresses (Care Compare)

1143 Fairway St
Suite 103
Bowling Green, KY 42103-2452
Phone (833) 525-3727

1860 Wilma Rudolph Blvd
Suite 127 V
Clarksville, TN 37040-6750
Phone (407) 622-8086

255 Overlook LN
Smiths Grove, KY 42171-8322
Phone (270) 780-4755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4034489KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care2U, LLC CurrentSince Mar 1, 2026 Accepting new patients
Lake Substance Abuse Solutions LLC Psychiatric/Mental Health CurrentSince Mar 6, 2025 Accepting new patients

Locations

225 W Canton Ave
Ste 600
Winter Park, FL 32789
Phone (407) 347-4536

1143 Fairway St
Ste 103
Bowling Green, KY 42103
Phone (812) 901-6881

1860 Wilma Rudolph Blvd
Ste 127V
Clarksville, TN 37040
Phone (407) 347-4536

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1457163735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 CAVE MILL STATION BLVD APT 932",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046264",
            "telephone_number": "615-670-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 FAIRWAY ST STE 103",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421032452",
            "telephone_number": "812-901-6881",
            "fax_number": "812-285-8392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1860 Wilma Rudolph Blvd Ste 127-V",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370406750",
            "country_code": "US",
            "telephone_number": "812-901-6881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Chapman Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370878448",
            "country_code": "US",
            "telephone_number": "615-670-3510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PARKER",
        "middle_name": "RILEY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4034489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.