Lora Ann Smith, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

0000171856 Issued in TN

Practice address

Mountain Home
Lamont St and Veterans Way
Johnson City, TN 37604

Phone

(423) 926-1171

NPI assigned

Oct 20, 2022

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1821715848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 WOODMONT DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012641",
            "telephone_number": "423-773-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MOUNTAIN HOME",
            "address_2": "LAMONT ST AND VETERANS WAY",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-926-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LORA",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TN",
            "license": "0000171856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CM&F",
            "identifier": "U36676",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan L Smith, FNP-BC
• Kristen Smith, APRN
• Kristine Barbara Smith, MS
• Lindsay Hope Smith
• Lindsey Smith, N.P.-C
• Lori Smith
• Lou M. Smith, M.D.
• Mary A Smith, BCABA
• Michael David Smith, NURSE PRACTITIONER
• Miranda Rose Smith, NNP

• General Practice Registered Nurse in Johnson City, TN
• Providers in Johnson City, TN by specialty
• General Practice Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.