Individual provider Active NPI

Kendra De'Von Smith, CNM

  • Advanced Practice Midwife
  • Knoxville, TN
National Provider Identifier
1548879067
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APN0000027039 Issued in TN
Practice address
501 19TH St Ste 401
Knoxville, TN 37916-1831
Phone
(865) 331-2020
Fax
(865) 331-1976
NPI assigned
Jul 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APN0000027039 TN Primary

Addresses

Primary practice location

501 19TH St Ste 401
Knoxville, TN 37916-1831

Mailing address

501 19TH St Ste 401
Knoxville, TN 37916-1831
Phone (865) 331-2020

Other practice location 1

1080 Neal St Ste 200
Cookeville, TN 38501-0944
Phone (931) 520-1529

Other identifiers 1

IdentifierTypeStateIssuer
Q060965MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250403003153 TN Practitioner - Certified Nurse Midwife (CNM) 0547784290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Sanders Perinatal CenterGroup PAC ID 3577505536, 34 clinicians

Practice addresses (Care Compare)

501 19TH St
Suite 401
Knoxville, TN 37916-1831
Phone (865) 541-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APN0000027039TNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Sanders Perinatal Center CurrentSince Apr 1, 2025 Accepting new patients

Locations

49 Cleveland St
Ste 330
Crossville, TN 38555
Phone (931) 787-1164

49 Cleveland St
Ste 230
Crossville, TN 38555
Phone (931) 456-4500

49 Cleveland St
Ste 340
Crossville, TN 38555
Phone (931) 459-7911

501 19th St
Ste 401
Knoxville, TN 37916
Phone (865) 331-2020

Dept 888247
Knoxville, TN 37995

Organizations & group practices 1

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": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1548879067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 19TH ST STE 401",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161831",
            "telephone_number": "865-331-2020",
            "fax_number": "865-331-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 19TH ST STE 401",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161831",
            "telephone_number": "865-331-2020",
            "fax_number": "865-331-1976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 Neal St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385010944",
            "country_code": "US",
            "telephone_number": "931-520-1529",
            "fax_number": "931-372-2751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KENDRA",
        "middle_name": "DE'VON",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "APN0000027039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q060965",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.