Samantha Smith, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19639 Issued in TN

Practice address

101 Physicians Way Ste 111
Lebanon, TN 37090

Phone

(615) 449-0990

Fax

(615) 449-4835

NPI assigned

Mar 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tennessee Orthopedics, P.C.Group PAC ID 7315938131, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vanderbilt Wilson County Hospital Hospital, Lebanon, TN, CCN 440193
• Macon Community Hospital Hospital, Lafayette, TN, CCN 441305
• Highpoint Health-Riverview With Ascension Saint TH Hospital, Carthage, TN, CCN 441307

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Tennessee Orthopedics, PC

  • Orthopaedic Surgery Physician
  • Lebanon, TN
  • NPI 1326030156
  Medicare reassignment Care Compare group NPD
• Sumner Physician Practices LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Gallatin, TN
  • NPI 1720572209
  Medicare reassignment NPD
• Sumner Physician Practices LLC

  • Family Medicine Physician
  • Portland, TN
  • NPI 1598290132
  NPD
• Sumner Physician Practices, LLC

  • Interventional Cardiology Physician
  • Gallatin, TN
  • NPI 1417782194
  NPD
• Tennessee Orthopedics, PC

  • Orthopaedic Surgery Physician
  • Gallatin, TN
  • NPI 1134670664
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Macon County General Hospital, Inc.

  • Critical Access Hospital
  • Lafayette, TN
  • NPI 1417938846
  Care Compare affiliation
• Riverview Medical Center LLC

  • Critical Access Hospital
  • Carthage, TN
  • NPI 1922319037
  Care Compare affiliation
• Vanderbilt University Medical Center

  • General Acute Care Hospital
  • Lebanon, TN
  • NPI 1306889597
  Care Compare affiliation

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1811380926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PHYSICIANS WAY STE 111",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370908131",
            "telephone_number": "615-449-0990",
            "fax_number": "615-449-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PHYSICIANS WAY STE 111",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "37090",
            "telephone_number": "615-449-0990",
            "fax_number": "615-449-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SAMANTHA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-13",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q016413",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlen Skelton, DC
• Raymond Michael Slifka, DPT
• Ashlie Sloan
• Smart Living Residential Services
• Smiles by Samantha
• Dawn Elise Snipes, PHD, LPC-MHSP, LMHC
• Leah Snow, LPTA
• Solomon Emergency Physicians PLLC
• Ali N Sorrell, FNP-C
• Kylie Sorrells, DPT

• Family Nurse Practitioner in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.

Verify at the official NPI Registry.