Individual provider Active NPI

Rebecca Smith

  • Licensed Practical Nurse
  • Chattanooga, TN
National Provider Identifier
1841836335
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN0000090590 Issued in TN
Practice address
2347 Rossville Blvd
Chattanooga, TN 37408-2250
Phone
(423) 265-3122
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN0000090590 TN Primary

Addresses

Primary practice location

2347 Rossville Blvd
Chattanooga, TN 37408-2250

Mailing address

2347 Rossville Blvd
Chattanooga, TN 37408-2250
Phone (423) 265-3122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPN0000090590TNMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteer Treatment Center, LLC CurrentSince Dec 16, 2020 Accepting new patients

Locations

2347 Rossville Blvd
Chattanooga, TN 37408
Phone (423) 265-3122

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": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1841836335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2347 ROSSVILLE BLVD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374082250",
            "telephone_number": "423-265-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2347 ROSSVILLE BLVD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374082250",
            "telephone_number": "423-265-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "LPN0000090590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.