Active NPI
Melissa Smith
- Adult Care Home Facility
- Memphis, TN
National Provider Identifier
1669067575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Practice address
- 97 Silverage Ave
Memphis, TN 38109-1823 - Phone
- (901) 435-6138
- NPI assigned
- Mar 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | TN | Primary | |
| Attendant Care Provider | 3747A0650X | TN | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Assisted Living Facility | 310400000X | TN | ||
| Driver | 172A00000X | TN | ||
| Private Vehicle | 347C00000X | TN | ||
| Nursing Home Administrator | 376G00000X | 4352 | TN | |
| Personal Care Attendant | 3747P1801X | TN |
Addresses
Primary practice location
97 Silverage Ave
Memphis, TN 38109-1823
Mailing address
97 Silverage Ave
Memphis, TN 38109-1823
Phone (901) 378-4004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q006138 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | melissahubbard@ymail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4352 | TN | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1669067575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 SILVERAGE AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381091823",
"telephone_number": "901-378-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 SILVERAGE AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381091823",
"telephone_number": "901-435-6138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-02",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "TN",
"license": null,
"primary": true
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "TN",
"license": "4352",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "TN",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q006138",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "melissahubbard@ymail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "97 Silverage Ave",
"city": "Memphis",
"state": "TN",
"country_code": "US",
"postal_code": "381091823",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.