Individual provider Active NPI

Lisa Anjonette Smallwood, ARNP

  • Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1801060835
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
13419 Issued in TN
Practice address
542 Uptown SQ
Murfreesboro, TN 37129-0589
Phone
(615) 310-1491
NPI assigned
Apr 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 13419 TN Primary

Addresses

Primary practice location

542 Uptown SQ
Murfreesboro, TN 37129-0589

Mailing address

3222 Carlyle CT
Murfreesboro, TN 37130-1372
Phone (615) 310-1491

Other identifiers 1

IdentifierTypeStateIssuer
1509897MedicaidTN

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
I20110316000723 TN Practitioner - Nurse Practitioner 3870787476 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Clinic LLCGroup PAC ID 8729225677, 13 clinicians

Practice addresses (Care Compare)

306 N Chancery St
McMinnville, TN 37110-2048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Wellness LLC CurrentSince Oct 1, 2025 Accepting new patients
Crossroads Urgent Care PLLC Nurse Practitioner CurrentSince Jul 27, 2012 Accepting new patients
Crossroads Urgent Care PLLC Nurse Practitioner CurrentSince Jul 27, 2012 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Apr 6, 2020 Accepting new patients
Family Care Clinic LLC CurrentSince Oct 1, 2025 Accepting new patients
St Anthony'S Primary Care LLC Past Accepting new patients
Consulting Associates, LLC PastSince Jun 7, 2016 Accepting new patients

Locations

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

306 N Chancery St
McMinnville, TN 37110
Phone (931) 474-4700

207 Oak Park
McMinnville, TN 37110
Phone (931) 474-4000

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 7

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": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1801060835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 CARLYLE CT",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371301372",
            "telephone_number": "615-310-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 UPTOWN SQ",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290589",
            "telephone_number": "615-310-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "LISA",
        "middle_name": "ANJONETTE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "13419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509897",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.