Individual provider Active NPI

Samantha Smith, FNP-C

  • Family Nurse Practitioner
  • Lebanon, TN
National Provider Identifier
1811380926
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jun 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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 19639 TN Primary

Addresses

Primary practice location

101 Physicians Way Ste 111
Lebanon, TN 37090

Mailing address

101 Physicians Way Ste 111
Lebanon, TN 37090-8131
Phone (615) 449-0990

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
I20150624002304 TN Practitioner - Nurse Practitioner 3577874031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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)

1420 W Baddour Pkwy
Suite 100
Lebanon, TN 37087-1510
Phone (615) 257-0190

158 Hospital Dr
BLDG 3
Carthage, TN 37030-1083
Phone (615) 257-0190

204 Medical Dr
Lafayette, TN 37083-1719
Phone (615) 257-0190

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopedics, PC CurrentSince Sep 16, 2017 Accepting new patients
Tennessee Orthopedics, PC CurrentSince Sep 16, 2017 Accepting new patients
Sumner Physician Practices, LLC CurrentSince May 1, 2020 Accepting new patients
Sumner Physician Practices LLC CurrentSince May 1, 2020 Accepting new patients
Sumner Physician Practices LLC Current Accepting new patients

Locations

158 Hospital Dr
Bldg 3
Carthage, TN 37030
Phone (615) 257-0190

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

204 Medical Dr
Lafayette, TN 37083
Phone (615) 443-7330

101 Physicians Way
Ste 111
Lebanon, TN 37090
Phone (615) 235-8700

1420 W Baddour Pkwy
Ste 100
Lebanon, TN 37087
Phone (615) 257-0190

307 S Broadway St
Portland, TN 37148
Phone (615) 323-9158

Interoperability endpoints

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

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.