Individual provider Active NPI

Scott E Smith, CRNA

  • Certified Registered Nurse Anesthetist
  • Livingston, TN
National Provider Identifier
1518041961
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN10758 Issued in TN
Practice address
315 Oak St
Livingston, TN 38570-1728
Phone
(931) 823-5611
NPI assigned
Oct 24, 2006
Last updated
May 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN10758 TN Primary

Addresses

Primary practice location

315 Oak St
Livingston, TN 38570-1728

Mailing address

PO Box 440246
Nashville, TN 37244-0246
Phone (615) 620-2333

Other identifiers 4

IdentifierTypeStateIssuer
4111682OtherTNBC/BS TN -NETWORKS P, S, TENNSELECT, BLUECARE
74011354MedicaidKY
01072314OtherTNAMERIGROUP COMMUNITY CARE - TNCARE ONLY
3634916MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031210000477 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537065503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Anesthesia Group, PLLCGroup PAC ID 0840595237, 3 clinicians

Practice addresses (Care Compare)

315 Oak St
Livingston, TN 38570-1728
Phone (931) 823-5611

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10758TNMDGeneral Practice Dentistry
APN10758TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2014 Accepting new patients
Cornerstone Anesthesia Group, PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2016 Accepting new patients
Deercreek Anesthesia Consultants PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Attentus of Scott County,LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

315 Oak St
Livingston, TN 38570
Phone (931) 403-1197

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

Organizations & group practices 4

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 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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1518041961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440246",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440246",
            "telephone_number": "615-620-2333",
            "fax_number": "615-620-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 OAK ST",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701728",
            "telephone_number": "931-823-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SCOTT",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN10758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS TN -NETWORKS P, S, TENNSELECT, BLUECARE",
            "identifier": "4111682",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74011354",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP COMMUNITY CARE - TNCARE ONLY",
            "identifier": "01072314",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3634916",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.