Individual provider Active NPI

Tammy R Smith, FNP-BC

  • Family Nurse Practitioner
  • Beckley, WV
National Provider Identifier
1548254097
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
56022 Issued in WV
Practice address
211 Sunset Dr
Beckley, WV 25801-2825
Phone
(304) 469-2905
Fax
(304) 465-5486
NPI assigned
Sep 9, 2005
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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 56022 WV Primary

Addresses

Primary practice location

211 Sunset Dr
Beckley, WV 25801-2825

Mailing address

497 Mall Rd
Oak Hill, WV 25901-6216
Phone (304) 469-2905

Other identifiers 1

IdentifierTypeStateIssuer
3810000221MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20040806000846 WV Practitioner - Nurse Practitioner 1052383452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New River Health Association IncGroup PAC ID 2365348596, 36 clinicians

Practice addresses (Care Compare)

497 Mall Rd
Oak Hill, WV 25901-6216
Phone (304) 469-2905

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56022WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New River Health Association, Inc. CurrentSince Nov 30, 2023 Accepting new patients
New River Health Association, Inc. CurrentSince Nov 30, 2023 Accepting new patients
West Virginia University Medical Corporation PastSince Oct 10, 2022 Accepting new patients
New River Health Association, Inc. Past Accepting new patients

Locations

211 Sunset Dr
Beckley, WV 25801
Phone (304) 255-4522

497 Mall Rd
Oak Hill, WV 25901
Phone (304) 469-3261

497 Mall Rd
Ste A
Oak Hill, WV 25901
Phone (304) 469-3261

908 Scarbro Rd
Scarbro, WV 25917
Phone (304) 469-3424

Interoperability endpoints

  • Direct secure messaging: tammy.smith.1@16450.direct.athenahealth.com

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 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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1548254097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 MALL RD",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259016216",
            "telephone_number": "304-469-2905",
            "fax_number": "304-465-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SUNSET DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012825",
            "telephone_number": "304-469-2905",
            "fax_number": "304-465-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TAMMY",
        "middle_name": "R",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "56022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000221",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.