Tara Lee Smith, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3012433 Issued in KY

Practice address

210 Marie Langdon Dr
Manchester, KY 40962-6388

Phone

(606) 598-5104

Fax

(606) 598-0983

NPI assigned

Jul 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Hospital, Inc.Group PAC ID 4486616141, shared by 9 NPIs, 60 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tsmith659330@adventhealth.direct-ci.com

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.

• Memorial Hospital Inc.

  • Rural Health Clinic/Center
  • Manchester, KY
  • NPI 1255471827
  Medicare reassignment NPD
• Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Beverly, KY
  • NPI 1558665752
  Medicare reassignment NPD
• Memorial Hospital, Inc.

  • Specialist
  • Manchester, KY
  • NPI 1831150119
  Medicare reassignment NPD
• Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Oneida, KY
  • NPI 1881112134
  Medicare reassignment NPD
• Bouncing Back Counseling Inc

  • Substance Abuse Rehabilitation Facility
  • Manchester, KY
  • NPI 1396238051
  NPD
• Memorial Hospital, Inc.

  • Multi-Specialty Clinic/Center
  • Manchester, KY
  • NPI 1033510961
  NPD

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1821575002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MARIE LANGDON DR",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MARIE LANGDON DR",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626388",
            "telephone_number": "606-598-5104",
            "fax_number": "606-598-0983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3737 S Highway 421",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "KY",
            "postal_code": "409625725",
            "country_code": "US",
            "telephone_number": "606-594-8110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 Town Branch Rd",
            "address_2": "Ste 2",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "KY",
            "postal_code": "409621326",
            "country_code": "US",
            "telephone_number": "606-598-0070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TARA",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3012433",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3012433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Lee Smith
• Rhonda Renee Smith
• Serena E Smith, M.S., CCC-SLP
• Sherri Larae Smith, APRN
• Suzann Smith, APRN
• Tonya Smith, PT
• Smith'S Hometown Family Practice, LLC
• Southeastern Family Drug Center, Inc
• Southeastern Family Drug Center, Inc
• Southeastern Medical Supply LLC

• Nurse Practitioner in Manchester, KY
• Providers in Manchester, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.