Glenda Wilson Smith, M.A. EDS

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PE0000011477 Issued in TN

Practice address

250 Hyle Ave
Murfreesboro, TN 37128-8535

Phone

(615) 410-6311

NPI assigned

Apr 22, 2013

Last updated

Apr 22, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1548604531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HYLE AVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371288535",
            "telephone_number": "615-410-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HYLE AVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371288535",
            "telephone_number": "615-410-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GLENDA",
        "middle_name": "WILSON",
        "name_prefix": "Mrs.",
        "credential": "M.A. EDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "PE0000011477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Shepherd Smith
• Cindy Smith
• Courtney Smith
• Diamondie Smith
• Erika Smith, RBT
• Gwenae Smith, LCWS
• Jacob Andrew Smith
• Jennifer Smith, MPT
• Jeremy David Smith, PHARM.D.
• Jessica Smith, PT, DPT

• Psychologist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.