MR. ROBERT LARRY SMITH FNP-BC NPI 1134450307

NPI Information

NPI: 1134450307
Provider Name: MR. ROBERT LARRY SMITH, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
260D SHOPPINGWAY BLVD
WEST MEMPHIS, AR
ZIP 72301
Phone: (901) 303-5040
Get Directions

MR. Robert Larry Smith, FNP-BC is a family nurse practitioner in West Memphis, AR with 15 years of experience. MR. Robert Larry Smith, FNP-BC NPI is 1134450307. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

260D SHOPPINGWAY BLVD
WEST MEMPHIS, AR
ZIP 72301-230
Phone: (901) 303-5040

The NPI 1134450307 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/27/2010 and was last updated on 5/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APN0000014593	TENNESSEE	No
2	363LF0000X	Nurse Practitioner	Family	A005873	ARKANSAS	Yes
3	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine	A005873	ARKANSAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PENDING	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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