Individual provider Active NPI

Savannah Rose Smith, APRN

  • Pediatric Nurse Practitioner
  • Harriman, TN
National Provider Identifier
1821712217
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
32590 Issued in TN
Practice address
1855 Tanner Way Ste 200
Harriman, TN 37748-8331
Phone
(865) 376-6272
NPI assigned
Sep 28, 2022
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 32590 TN
Pediatric Nurse Practitioner 363LP0200X 32590 TN Primary

Addresses

Primary practice location

1855 Tanner Way Ste 200
Harriman, TN 37748-8331

Mailing address

1855 Tanner Way Ste 200
Harriman, TN 37748-8331
Phone (865) 376-6272

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smith.savannah@covenanthealth.cernerdirect.com

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
I20221108001988 TN Practitioner - Nurse Practitioner 4082081872 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc. CurrentSince Oct 10, 2022 Accepting new patients
Covenant Medical Group, Inc CurrentSince Oct 10, 2022 Accepting new patients

Locations

1855 Tanner Way
Ste 200
Harriman, TN 37748
Phone (865) 376-6272

1855 Tanner Way
Ste 220
Harriman, TN 37748
Phone (865) 882-2442

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

Interoperability endpoints

  • Direct secure messaging: smith.savannah@covenanthealth.cernerdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1821712217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 TANNER WAY STE 200",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377488331",
            "telephone_number": "865-376-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 TANNER WAY STE 200",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377488331",
            "telephone_number": "865-376-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SAVANNAH",
        "middle_name": "ROSE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "32590",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "32590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smith.savannah@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1855 Tanner Way Ste 200",
            "city": "Harriman",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377488331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harriman, TN

Sources for this page

Verify at the official NPI Registry.