Individual provider Active NPI

Rachael Smith

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1750938643
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26192 Issued in TN
Practice address
5131 Quince Rd
Memphis, TN 38117-6846
Phone
(901) 701-1888
Fax
(901) 701-1136
NPI assigned
Aug 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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 26192 TN Primary

Addresses

Primary practice location

5131 Quince Rd
Memphis, TN 38117-6846

Mailing address

5131 Quince Rd
Memphis, TN 38117-6846
Phone (901) 701-1888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20191017002438 TN Practitioner - Nurse Practitioner 2062743354 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
Telehealth
Offers telehealth services
Group practices
Consolidated Medical Practices of Memphis,PLLCGroup PAC ID 1759459845, 113 clinicians

Practice addresses (Care Compare)

6799 Great Oaks Rd
Suite 250
Memphis, TN 38138-2584
Phone (901) 261-0700

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC CurrentSince Oct 1, 2021 Accepting new patients
Dedicated Physicians Group of Tennessee, PLLC CurrentSince Aug 1, 2022 Accepting new patients
Consolidated Medical Practices of Memphis,PLLC CurrentSince Sep 1, 2019 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Oct 1, 2021 Accepting new patients
Dedicated Physicians Group of Tennessee, PLLC CurrentSince Aug 1, 2022 Accepting new patients
Watson Advanced Care, LLC Past Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

3046 Columbia Ave
Ste 208
Franklin, TN 37064

1407 Union Ave
Ste 1007
Memphis, TN 38104
Phone (901) 233-2667

1750 Madison Ave
Ste 401
Memphis, TN 38104
Phone (901) 276-2357

1056 E Raines Rd
Memphis, TN 38116
Phone (901) 300-5777

5131 Quince Rd
Memphis, TN 38117
Phone (901) 440-3044

6799 Great Oaks Rd
Ste 250
Memphis, TN 38138
Phone (901) 261-0700

2252 Lamar Ave
Memphis, TN 38114
Phone (901) 671-1800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD

Organizations & group practices 6

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 3

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": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1750938643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 QUINCE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381176846",
            "telephone_number": "901-701-1888",
            "fax_number": "901-701-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 QUINCE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381176846",
            "telephone_number": "901-701-1888",
            "fax_number": "901-701-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RACHAEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-24",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.