Tina M Smith, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-110452 Issued in AL

Practice address

430 Emery Dr Ste 200
Hoover, AL 35244-4595

Phone

(205) 855-0357

NPI assigned

Mar 26, 2019

Last updated

Jul 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tina Smith Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1740741511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 EMERY DR STE 200",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444595",
            "telephone_number": "205-855-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 EMERY DR STE 200",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444595",
            "telephone_number": "205-855-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TINA",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-110452",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-110452",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "SMITH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Devon Smith, M.D.
• Rachel Grace Smith, PSYD
• Sarah Leann Smith, CRNP
• Susan Bennett Smith, LICSW, PIP
• Taryn Haley Smith, O.D.
• Tracey Allen Smith, M.S. CCC-SLP
• SNH Bama Tenant LLC (Lakeview Estates)
• SNH Bama Tenant LLC (Morningside of Riverchase)
• Christopher Snider
• Shirley Snider

• Family Nurse Practitioner in Hoover, AL
• Providers in Hoover, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.