Individual provider Active NPI

Tammy Renee Smith

  • Family Nurse Practitioner
  • London, KY
National Provider Identifier
1700474228
Registry record updated Jan 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015584 Issued in KY
Practice address
71 Steeple Chase LN
London, KY 40744-7991
Phone
(606) 864-8537
NPI assigned
Jan 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2021

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 3015584 KY Primary

Addresses

Primary practice location

71 Steeple Chase LN
London, KY 40744-7991

Mailing address

71 Steeple Chase LN
London, KY 40744-7991
Phone (606) 864-8537

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tammy71smith@icloud.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20210930000438 KY Practitioner - Nurse Practitioner 9234536459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
London Women'S Care LLCGroup PAC ID 6204721566, 37 clinicians

Practice addresses (Care Compare)

803 Meyers Baker Rd
Suite 200
London, KY 40741-3040
Phone (606) 878-3240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3015584KYMDFamily Nurse Practitioner

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": "1610236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1700474228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 STEEPLE CHASE LN",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407447991",
            "telephone_number": "606-864-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 STEEPLE CHASE LN",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407447991",
            "telephone_number": "606-864-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TAMMY",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-10",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tammy71smith@icloud.com",
            "affiliation": "N",
            "address_1": "71 Steeple Chase Ln",
            "city": "London",
            "state": "KY",
            "country_code": "US",
            "postal_code": "407447991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.