Individual provider Active NPI

Deborah T Smothers, F.N.P.

  • Family Nurse Practitioner
  • Camden, TN
National Provider Identifier
1467648949
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000006407 Issued in TN
Practice address
160 Hospital Dr
Camden, TN 38320-1618
Phone
(731) 279-0600
NPI assigned
Sep 19, 2007
Last updated
Mar 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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 APN0000006407 TN Primary

Addresses

Primary practice location

160 Hospital Dr
Camden, TN 38320-1618

Mailing address

PO Box 416
Camden, TN 38320-0416
Phone (731) 279-0600

Other identifiers 1

IdentifierTypeStateIssuer
3345017MedicaidTN

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
I20041222000132 TN Practitioner - Nurse Practitioner 2567420532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

160 Hospital Dr
Camden, TN 38320-1618
Phone (731) 279-0600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000006407TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Lakeside LLC CurrentSince Feb 12, 2018 Accepting new patients
Camden Medical Clinic, Inc CurrentSince Jan 10, 2005 Accepting new patients
Thornburg Family Medical Clinic, Inc PastSince Jan 10, 2005 Accepting new patients

Locations

2911 Brunswick Rd
Bartlett, TN 38133
Phone (901) 373-0905

160 Hospital Dr
Camden, TN 38320
Phone (731) 279-0600

Interoperability endpoints

  • Direct secure messaging: deborah.smothers.1@19838.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19838/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1467648949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "383200416",
            "telephone_number": "731-279-0600",
            "fax_number": "731-279-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HOSPITAL DR",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "383201618",
            "telephone_number": "731-279-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOTHERS",
        "first_name": "DEBORAH",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000006407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3345017",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, TN

Sources for this page

Verify at the official NPI Registry.