Individual provider Active NPI

Julie Ann Smith, MSN,ACNP, BC

  • Acute Care Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1518099530
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APN0000010879 Issued in TN
Practice address
1056 E Raines Rd
Memphis, TN 38116-6337
Phone
(901) 300-5777
Fax
(901) 422-6092
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN0000080499 TN
Acute Care Nurse Practitioner 363LA2100X 810295 MS
Acute Care Nurse Practitioner 363LA2100X APN0000010879 TN Primary

Addresses

Primary practice location

1056 E Raines Rd
Memphis, TN 38116-6337

Mailing address

1056 E Raines Rd
Memphis, TN 38116-6337
Phone (901) 300-5777

Other identifiers 1

IdentifierTypeStateIssuer
1515130MedicaidTN

Other names 1

  • Julie A. Atkeison Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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
I20090414000136 TN Practitioner - Nurse Practitioner 0244387017 Reassigns benefits to 2 organizations
I20090616000149 MS Practitioner - Nurse Practitioner 0244387017 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN0000080499TNMDCritical Care Medicine Registered Nurse
APN0000010879TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Pain Clinics, Inc CurrentSince Dec 1, 2018 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Jun 28, 2021 Accepting new patients
Dedicated Physicians Group of Tennessee, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Strategic Solutions-Panola Medical Center LLC Current Accepting new patients
Spectrum Pain Clinics Inc. CurrentSince Dec 1, 2018 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Jun 28, 2021 Accepting new patients

Locations

303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155

255 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-2163

230 E James M Campbell Blvd
Ste 102
Columbia, TN 38401
Phone (931) 840-9588

8132 Cordova Rd
Cordova, TN 38016
Phone (901) 367-0811

1056 E Raines Rd
Memphis, TN 38116
Phone (901) 300-5777

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1518099530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 E RAINES RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166337",
            "telephone_number": "901-300-5777",
            "fax_number": "901-422-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 E RAINES RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166337",
            "telephone_number": "901-300-5777",
            "fax_number": "901-422-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "MSN,ACNP, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TN",
            "license": "RN0000080499",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "810295",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "APN0000010879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515130",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "ATKEISON",
            "middle_name": "A.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.