Individual provider Active NPI

Christina Simmons Smith, NP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1821401985
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18688 Issued in TN
Practice address
364 S Front St Ste 101
Memphis, TN 38103-4160
Phone
(901) 292-1519
NPI assigned
Jun 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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 18688 TN Primary

Addresses

Primary practice location

364 S Front St Ste 101
Memphis, TN 38103-4160

Mailing address

364 S Front St Ste 101
Memphis, TN 38103-4160
Phone (901) 505-2017

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
I20140819002175 TN Practitioner - Nurse Practitioner 3274750062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Elite Total Health IncGroup PAC ID 1759626930, 3 clinicians

Practice addresses (Care Compare)

364 S Front St
Suite 101
Memphis, TN 38103-4160
Phone (901) 505-2017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18688TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Total Health Inc CurrentSince Sep 8, 2018 Accepting new patients

Locations

364 S Front St
Ste 101
Memphis, TN 38103
Phone (901) 292-1519

Organizations & group practices 1

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": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1821401985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 S FRONT ST STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381034160",
            "telephone_number": "901-505-2017",
            "fax_number": "901-509-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 S FRONT ST STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381034160",
            "telephone_number": "901-292-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTINA",
        "middle_name": "SIMMONS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.