Robert John Smith, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN0000049998 Issued in TN

Practice address

650 Joel Dr
Managed Care Division
Fort Campbell, KY 42223-5318

Phone

(270) 798-8766

Fax

(630) 570-5225

NPI assigned

Apr 18, 2006

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1992760631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "address_2": "MANAGED CARE DIVISION",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "270-798-8766",
            "fax_number": "630-570-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "address_2": "MANAGED CARE DIVISION",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "270-798-8766",
            "fax_number": "630-570-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "LPN0000049998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "LPN0000049998",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Catherine Smiley, LCSW
• Arron Michael Smith, MD
• Danielle Marie Smith, PSY.D., MSCP
• Dennis Smith
• Melissa Jo Smith, MD
• Ryan David Smith, DDS
• Shelby Lynn Smith, CNM
• William Edgar Smith, DMD
• Zachary Michael Smith, D.O.
• Stuart Wilson Smythe Jr., LCSW

• Licensed Practical Nurse in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Licensed Practical Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.