Jacqueline T Smith, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

TN262 Issued in TN

Practice address

1502 Sparta St
MC Minnville, TN 37110-1317

Phone

(931) 473-9528

Fax

(931) 473-1618

NPI assigned

Jun 12, 2006

Last updated

Sep 23, 2015By the provider in NPPES

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• McMinnville Boarding Home for the Elderly

  • Assisted Living Facility
  • McMinnville, TN
  • NPI 1811225568
  NPD (past)
• The Webb House Retirement Center of McMinnville, Inc

  • Assisted Living Facility
  • McMinnville, TN
  • NPI 1639626468
  NPD (past)
• The Webb House Retirement Center, Inc

  • Assisted Living Facility
  • Smithville, TN
  • NPI 1013238088
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1891737854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 SPARTA ST",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371101317",
            "telephone_number": "931-473-9528",
            "fax_number": "931-473-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 SPARTA ST",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371101317",
            "telephone_number": "931-473-9528",
            "fax_number": "931-473-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACQUELINE",
        "middle_name": "T",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "TN262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3351150",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline R Smartt, M.D.
• Kristy Lynn Smartt, NP
• Caren L Smith, LPN
• Haley Smith
• Herbert X Smith, MD
• Katie Grace Smith, OD
• Matthew Ryan Smith, PT
• Anatoliy Smyrnov, PT
• Larry Dewayne Sneed, APRN
• Teresa Snook

• Podiatrist in McMinnville, TN
• Providers in McMinnville, TN by specialty
• Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.