Individual provider Active NPI

Courtney S. Smith, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1649692419
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18459 Issued in TN
Practice address
300 Prosperity Dr Ste 103
Knoxville, TN 37923-4717
Phone
(865) 246-0143
Fax
(865) 246-0146
NPI assigned
Jan 14, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 18459 TN Primary

Addresses

Primary practice location

300 Prosperity Dr Ste 103
Knoxville, TN 37923-4717

Mailing address

234 Morrell Rd Ste 304
Knoxville, TN 37919-5876
Phone (865) 246-0143

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
I20140513000501 TN Practitioner - Nurse Practitioner 4880827153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matter Health of Tennessee, PLLCGroup PAC ID 7315343407, 7 clinicians
Coffee County Hospital Group IncGroup PAC ID 1456317783, 87 clinicians
Ultacare Medical PLLCGroup PAC ID 4789687484, 52 clinicians

Practice addresses (Care Compare)

1171 Armstrong Ave
Knoxville, TN 37917-6515
Phone (865) 328-3870

1205 Robinson Rd
Old Hickory, TN 37138-3350
Phone (615) 558-4760

1515 Isabella Cir
Knoxville, TN 37915-2632
Phone (865) 328-0860

482 Interstate Dr
Suite a
Manchester, TN 37355-3109
Phone (931) 728-4718

606 N Broad St
New Tazewell, TN 37825-6610
Phone (423) 259-5002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ultacare Medical PLLC CurrentSince Apr 12, 2022 Accepting new patients
Matter Health of Tennessee, PLLC Family CurrentSince Jan 5, 2026 Accepting new patients

Locations

3382 Andersonville Hwy
Andersonville, TN 37705
Phone (732) 608-1388

1225 E Weisgarber Rd
Ste 190
Knoxville, TN 37909
Phone (423) 259-5002

4301 Whittle Springs Rd
Knoxville, TN 37917
Phone (865) 328-0870

4500 Doris Cir
Knoxville, TN 37918
Phone (865) 328-0920

606 N Broad St
New Tazewell, TN 37825
Phone (423) 626-0466

5261 Carrollton Pike
Ste A
Woodlawn, VA 24381

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22414/brand/2/csg/41/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649692419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 MORRELL RD STE 304",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195876",
            "telephone_number": "865-246-0143",
            "fax_number": "865-246-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PROSPERITY DR STE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234717",
            "telephone_number": "865-246-0143",
            "fax_number": "865-246-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COURTNEY",
        "middle_name": "S.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.