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Active NPI 1992760631 Individual Practitioner Male Practitioner

Robert John Smith , LPN

Licensed Practical Nurse • Fort Campbell, KY

Professional Overview & Biography Verified Profile Summary

Robert Smith, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Fort Campbell, KY. Practice services are available at 650 JOEL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

650 Joel Dr
Managed Care Division

Fort Campbell, KY 422235318

Telephone 2707988766
Fax 6305705225
Associated Practice Facility / Clinic
🏢 Ach Blanchfield-Ft Campbell Facility NPI 1417044702

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Fort Campbell, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
55 Specialists

Practicing in Fort Campbell, KY (422 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-17
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License TN LPN0000049998

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nursing License
LPN0000049998 (TN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lisa Cordell , RN

Registered Nurse

NPI 1003134073

Registered Nurse

Samantha Winder , ATC

Specialist/Technologist - Athletic Trainer

NPI 1003143249

Certified Athletic Trainer

Kathleen Groff , FNP-BC

Nurse Practitioner

NPI 1003312984

Family Nurse Practitioner (Board Certified)

Lindsay Davis

Counselor - Professional

NPI 1003319799
Dr. Jeffrey Sanford , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003470709

Doctor of Medicine (M.D.)

Erik Flolo , LMSW

Social Worker - Clinical

NPI 1003477605

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 25, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2013

Registered at 650 JOEL DR, MANAGED CARE DIVISION, FORT CAMPBELL, KY 422235318 (Tel: 2707988766)

📍
Updated Business Mailing Address March 25, 2013

Registered at 650 JOEL DR, MANAGED CARE DIVISION, FORT CAMPBELL, KY 422235318 (Tel: 2707988766)

👤
Provider Name / Credentials Updated March 25, 2013

Recorded as ROBERT SMITH, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2013

Licensed Practical Nurse (License #LPN0000049998 in TN)

🟢
Initial NPI Registration & Enumeration April 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992760631
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2006
Last Update: July 17, 2024
Sole Proprietor: No

Mailing Address

650 Joel Dr, Managed Care Division

Fort Campbell, KY 422235318

Phone: 2707988766

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.