Sean Edward Smithey, MSN, ACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APN0000012984 Issued in TN

Practice address

106 Henry Ave
Crossville, TN 38555-4470

Phone

(931) 783-4770

Fax

(931) 484-9616

NPI assigned

Nov 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• CRMC Mso Sub 1, Incorporated

  • Specialist
  • Cookeville, TN
  • NPI 1972648319
  Medicare reassignment NPD
• Housecall Today, Inc

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1326217852
  Medicare reassignment NPD
• Infinity Resources Inc

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1629204037

  Acute Care

  NPD (past)

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1487835401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W 4TH ST STE 200",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012489",
            "telephone_number": "931-372-0405",
            "fax_number": "931-783-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HENRY AVE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554470",
            "telephone_number": "931-783-4770",
            "fax_number": "931-484-9616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 W 4th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385012489",
            "country_code": "US",
            "telephone_number": "931-372-0405",
            "fax_number": "931-372-0463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITHEY",
        "first_name": "SEAN",
        "middle_name": "EDWARD",
        "credential": "MSN, ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-19",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "APN0000012984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521537",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darryl Glenn Smith, DDS
• Michael Donovan Smith, RBT
• Robbie R. Smith, NP
• Tonya D Smith, NA
• William Edward Smith, M.D.
• Sogo
• Kristine Louise Soly, MD, FACC
• Matthew Song, DDS
• Kathryn Ann Sorkin, RPH
• Specialty Surgery Center, PLLC

• Acute Care Nurse Practitioner in Crossville, TN
• Providers in Crossville, TN by specialty
• Acute Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.