Individual provider Active NPI

Ashley Smallwood

  • Family Nurse Practitioner
  • Tazewell, TN
National Provider Identifier
1699313528
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26908 Issued in TN
Practice address
1610 Tazewell Rd Ste 203
Tazewell, TN 37879-3648
Phone
(423) 626-6260
NPI assigned
Dec 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3013772 KY
Family Nurse Practitioner 363LF0000X 26908 TN Primary

Addresses

Primary practice location

1610 Tazewell Rd Ste 203
Tazewell, TN 37879-3648

Mailing address

513 N 25TH St
Middlesboro, KY 40965-2108
Phone (606) 670-0405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200314000007 TN Practitioner - Nurse Practitioner 9739517368 Reassigns benefits to 3 organizations
I20210830001234 KY Practitioner - Nurse Practitioner 9739517368 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, shared by 15 NPIs, 737 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

2019 Jacksboro Pike
La Follette, TN 37766-3001
Phone (423) 437-3093

291 S Daisy St
Morristown, TN 37813-2362
Phone (423) 616-8315

402 S Broad St
New Tazewell, TN 37825-7239
Phone (423) 919-8244

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3013772KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky PLLC CurrentSince Mar 1, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 18, 2022 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Livesay Family Medicine, PC Family CurrentSince Feb 1, 2020 Accepting new patients
Brock Medical, LLC CurrentSince Mar 1, 2023 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Mar 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Mar 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 18, 2022 Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients

Locations

38 Broadway St
Dry Ridge, KY 41035
Phone (859) 300-0694

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

805 S Lincoln Blvd
Hodgenville, KY 42748

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

239 N 12th St
Middlesboro, KY 40965
Phone (270) 632-1548

115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

3430 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 820-0033

200 Nettleton Rd
Ste 1
Harrogate, TN 37752
Phone (423) 419-5550

2280 S Shady St
Mountain City, TN 37683
Phone (423) 501-2165

402 S Broad St
New Tazewell, TN 37825
Phone (423) 919-8244

1610 Tazewell Rd
Ste 203
Tazewell, TN 37879
Phone (423) 259-2232

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21267/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1699313528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 N 25TH ST",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652108",
            "telephone_number": "606-670-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 TAZEWELL RD STE 203",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793648",
            "telephone_number": "423-626-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013772",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tazewell, TN

Sources for this page

Verify at the official NPI Registry.