Active NPI
Tammy Renee Smith
- Family Nurse Practitioner
- London, KY
National Provider Identifier
1700474228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3015584
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3015584 | KY | MD | Family 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.
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- London, KY
- NPI 1063454650
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.