Individual provider Active NPI

Nancy Renee Smith, NP

  • Family Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1922245141
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015255 Issued in KY
Practice address
2237 Lowes Dr W Ste a
Clarksville, TN 37040-6891
Phone
(931) 272-2446
Fax
(855) 530-6144
NPI assigned
Jan 9, 2009
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3015255 KY Primary

Addresses

Primary practice location

2237 Lowes Dr W Ste a
Clarksville, TN 37040-6891

Mailing address

2237 Lowes Dr W Ste a
Clarksville, TN 37040-6891
Phone (931) 272-2446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220203002454 TN Practitioner - Nurse Practitioner 7810380474 Reassigns benefits to 2 organizations
I20231009000425 KY Practitioner - Nurse Practitioner 7810380474 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3015255KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pennyroyal Healthcare Services, Inc CurrentSince Sep 18, 2023 Accepting new patients
Pennyroyal Healthcare Services, Inc. Current Accepting new patients
Red River Medical Group Corporation Family CurrentSince Aug 1, 2025 Accepting new patients
Pennyroyal Healthcare Services, Inc. CurrentSince Sep 18, 2023 Accepting new patients
Restoring Health Clinic CurrentSince Sep 7, 2023 Accepting new patients
Pennyroyal Healthcare Services, Inc Past Accepting new patients
Northstar Medical Group LLC Primary Care Past Accepting new patients
Healthstar Medical Group PLLC Family PastSince Sep 24, 2023 Accepting new patients

Locations

1102 S Virginia St
Hopkinsville, KY 42240
Phone (270) 707-1160

244 Thompsonville Ln
Oak Grove, KY 42262
Phone (270) 632-6743

1022 W Main St
Princeton, KY 42445
Phone (270) 365-0227

311 Landrum Pl
Ste 500C
Clarksville, TN 37043
Phone (931) 272-2446

560 Fire Station Rd
Clarksville, TN 37043
Phone (931) 358-4146

351 Dover Rd
Clarksville, TN 37042
Phone (931) 368-9736

2237 Lowes Dr W
Ste A
Clarksville, TN 37040
Phone (931) 272-2446

1960 Madison St
Clarksville, TN 37043

1110 Ted a Crozier SR Blvd
Clarksville, TN 37043
Phone (931) 320-9467

Interoperability endpoints

  • Direct secure messaging: nancy.smith@42242842558468.direct.elationemr.com
  • FHIR API: https://api.platform.athenahealth.com/11153/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1922245141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 LOWES DR W STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406891",
            "telephone_number": "931-272-2446",
            "fax_number": "855-530-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 LOWES DR W STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406891",
            "telephone_number": "931-272-2446",
            "fax_number": "855-530-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NANCY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.