Individual provider Active NPI

Deborah F Smith, FNP

  • Family Nurse Practitioner
  • Smithville, TN
National Provider Identifier
1598084170
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
00000046680 Issued in TN
Practice address
302 N Congress Blvd
Smithville, TN 37166-2704
Phone
(615) 597-4395
NPI assigned
May 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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 00000046680 TN Primary

Addresses

Primary practice location

302 N Congress Blvd
Smithville, TN 37166-2704

Mailing address

302 N Congress Blvd
Smithville, TN 37166-2704
Phone (615) 597-4395

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110310000566 TN Practitioner - Nurse Practitioner 4789866864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Medical Group, PLLCGroup PAC ID 3779544895, 52 clinicians

Practice addresses (Care Compare)

491 Sage Rd N
Suite 200
White House, TN 37188-9361
Phone (615) 672-7122

Hospital & facility affiliations

  • Dekalb Community Hospital Hospital, Smithville, TN, CCN 440148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00000046680TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Quick Care of Lavergne, PC CurrentSince Jun 23, 2012 Accepting new patients
Crossroads Medical Group, PLLC CurrentSince Sep 1, 2024 Accepting new patients
Crossroads Medical Group, P.a. Past Accepting new patients

Locations

5148A Murfreesboro Rd
La Vergne, TN 37086
Phone (615) 213-2273

302 N Congress Blvd
Smithville, TN 37166
Phone (615) 597-4395

491 Sage Rd N
Ste 200
White House, TN 37188
Phone (615) 581-5925

Organizations & group practices 3

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.

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": "1274486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1598084170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N CONGRESS BLVD",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371662704",
            "telephone_number": "615-597-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N CONGRESS BLVD",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371662704",
            "telephone_number": "615-597-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEBORAH",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-22",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "00000046680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithville, TN

Sources for this page

Verify at the official NPI Registry.