Paul S Smith, EDD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

P1605 Issued in TN

Practice address

1900 Church St Ste 300
Nashville, TN 37203-2285

Phone

(615) 329-8900

Fax

(615) 369-8711

NPI assigned

May 17, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821041450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CHURCH ST STE 203",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032286",
            "telephone_number": "615-329-8900",
            "fax_number": "615-369-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CHURCH ST STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032285",
            "telephone_number": "615-329-8900",
            "fax_number": "615-369-8711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 Maryland Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370275072",
            "country_code": "US",
            "telephone_number": "615-329-8900",
            "fax_number": "615-369-8711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PAUL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "P1605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3683987",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Alena Smith, BSN, RN
• Olivia Nicole Smith, RN
• Oria Makenzie Smith, RN
• Patricia Diane Smith, N.P
• Paul Smith, CRNA
• Penny R Smith, RN
• R Lauren Smith, FNP
• Rachel Smith, APN
• Rachel Cara Smith, PA
• Rachel Diane Smith, RN

• Psychologist in Nashville, TN
• Providers in Nashville, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.