ANDREA LAUREN SMITH (NPI# 1083125140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083125140 |
| Entity Type | Individual |
| Full Name | ANDREA LAUREN SMITH |
| Credential | FNP |
| Practice Address |
310 N State of Franklin Rd Ste 202 Johnson City TN 37604-6063 |
| Mailing Address |
162 Mountain View Cir Hampton TN 37658-3062 |
| Practice Telephone | 4239297111 |
| Practice Fax Number | 4239299448 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2019-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 23135 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
23135 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3703470 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934442 | Andrea Jean Smith | Adult Companion | 3318 N Defiance St, Tacoma, WA 98407-1512 | 2019-10-25 |
| 1003462631 | Andrea N Smith | Registered Nurse | 44-3703 Kukuipapa Rd, Paauilo, HI 96776 | 2019-08-09 |
| 1619454493 | Andrea Smith | Specialist | 3619 N Arlington Ave, Indianapolis, IN 46218-1806 | 2018-07-24 |
| 1831637073 | Andrea Smith | Physical Therapist | 63675 E Saddlebrooke Blvd Ste R, Tucson, AZ 85739-1297 | 2017-02-08 |
| 1396287421 | Andrea Smith | Developmental Therapist | 1211 Cuyler Ave, Berwyn, IL 60402-1118 | 2016-11-07 |
| 1699137430 | Andrea Lauren Smith | Chiropractor | 15651 East Imperial Hwy Ste 100, La Mirada, CA 90638 | 2016-03-22 |
| 1275991614 | Andrea Smith | Counselor | 27 S Sherman St, Apt. 206, Denver, CO 80209-1662 | 2016-01-31 |
| 1780005678 | Andrea Arenas Smith | Advanced Practice Midwife | 25415 York Rd, Royal Oak, MI 48067-3021 | 2013-12-19 |
| 1205266285 | Andrea Smith | Occupational Therapist | 2110 Crossover Dr, Cumming, GA 30040-9636 | 2013-11-12 |
| 1942641071 | Andrea Lynette Smith | Physical Therapist | 124 Linda Ave, Delran, NJ 08075-2110 | 2013-07-17 |
| Street Address |
310 N STATE OF FRANKLIN RD STE 202 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679879092 | Dhara Jesangbhai Chaudhari | Internal Medicine | 310 N State of Franklin Rd Ste 202, Johnson City, TN 37604-6063 | 2011-02-02 |
| 1053881706 | Tennessee Valley Anesthesia Associates, LLC | Anesthesiology | 310 N State of Franklin Rd Ste 202, Johnson City, TN 37604-6063 | 2018-11-26 |
| 1538693809 | Ashley Lauren Carr | Nurse Practitioner | 310 N State of Franklin Rd Ste 202, Johnson City, TN 37604-6063 | 2017-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316472509 | Total Health and Wellness | Nurse Practitioner | 801 E Watauga Ave Ste 2, Johnson City, TN 37601-4113 | 2017-04-25 |
| 1568570273 | East Tennessee State University | Nurse Practitioner | 365 Stout Drive, Nicks Hall Rm 160, Johnson City, TN 37614-6500 | 2006-08-25 |
| 1407884869 | Dana Allen | Nurse Practitioner | 403 Princeton Rd Ste 1, Johnson City, TN 37601-2040 | 2006-06-28 |
| 1720641137 | Brooke Nicole Griffith | Nurse Practitioner | 2312 Knob Creek Rd Ste 208, Johnson City, TN 37604-2367 | 2019-04-22 |
| 1174955090 | Ellen Patricia Reynolds | Nurse Practitioner | 52 Harrison St, Johnson City, NY 13790-2120 | 2013-08-01 |
| 1821057738 | Lynda G Weatherly | Nurse Practitioner | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982658 | Kirsten Marie Doerfer | Nurse Practitioner | 8512 Golden Cloud Ln, Knoxville, TN 37931-3164 | 2020-11-06 |
| 1912506551 | Anna Simpson Jones | Nurse Practitioner | 1042 E 3rd St Ste 103, Chattanooga, TN 37403-2161 | 2020-10-24 |
| 1033724349 | Tatum Lee Severino I | Nurse Practitioner | 8819 Three Chimneys Dr E, Germantown, TN 38138-8206 | 2020-09-14 |
| 1871106930 | Munira Asif | Nurse Practitioner | 874 Schilling Farm Rd Apt 106, Collierville, TN 38017-7039 | 2020-08-28 |
| 1669000840 | Tekeyla Warfield | Nurse Practitioner | 2980 Poplar Ave, Memphis, TN 38111-3527 | 2020-04-01 |
| 1578197836 | Jessica Pratt | Nurse Practitioner | 512 Marbury Rd, Tullahoma, TN 37388-2142 | 2020-02-26 |
| 1730729278 | Anna Abigail Markus | Nurse Practitioner | 211 Long Branch Rd, Lawrenceburg, TN 38464-5400 | 2020-01-13 |
| 1023653037 | Staci Garner | Nurse Practitioner | 2508 Highway 130, Petersburg, TN 37144-8001 | 2019-11-13 |
| 1881238533 | Janna Rae Haskins | Nurse Practitioner | 5137 Vinnie Dell Drive, Chapel Hill, TN 37034 | 2019-11-05 |
| 1124676325 | Marde M Walker | Nurse Practitioner | 8225 Highway 51 North, Millington, TN 38053 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on ANDREA LAUREN SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.