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KENNEDY ALEXANDRA SMITH
NPI 1003641796
Student in an Organized Health Care Education/Training Program in Knoxville, TN

Active since September 03, 2024
2455 SUTHERLAND AVE BLDG A, KNOXVILLE, TN 37919(865) 360-0245 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kennedy Alexandra Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEDY ALEXANDRA SMITH (NPI 1003641796) is an individual student in an organized health care education/training program in Knoxville, Tennessee and active in the NPI registry since September 2024. She maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1003641796
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKENNEDY ALEXANDRA SMITH
Location Address2455 SUTHERLAND AVE BLDG AKnoxville, TN 37919-2355
Mailing Address1641 Wheaton PlKnoxville, TN 37919-8982 · (865) 360-0245
Phone(865) 360-0245
Sole ProprietorNo
Enumeration DateSeptember 3, 2024
NPPES CertifiedSeptember 3, 2024
✔ NPI 1003641796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2455 SUTHERLAND AVE BLDG A, Knoxville, TN 37919
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Secondary Practice Location 1

Location 11100 Marion St Ste 102CKnoxville, TN 37921-6877 · Phone (865) 344-6076

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DESIRAE ELAINE GAMMICHIA
Case Manager/Care Coordinator
2455 SUTHERLAND AVE BLDG A
KNOXVILLE, TN 37919
Knox County (865) 544-5000
CARLEY WARD BS
Social Worker
2455 SUTHERLAND AVE BLDG A
KNOXVILLE, TN 37919
Knox County (800) 255-9711
BLAKELY JESSICA GEAMES
Specialist
2455 SUTHERLAND AVE BLDG A
KNOXVILLE, TN 37919
Knox County (865) 544-5000
JO ANN RUP CM
Case Manager/Care Coordinator
2455 SUTHERLAND AVE BLDG A
KNOXVILLE, TN 37919
Knox County (865) 637-9711
TALIA LEE MCCARTY
Counselor
2455 SUTHERLAND AVE BLDG A
KNOXVILLE, TN 37919
Knox County (865) 544-5000
MS. BRITANY NICOLE SHEARS
Case Manager/Care Coordinator
2455 SUTHERLAND AVE BLDG A
KNOXVILLE, TN 37919
Knox County (865) 544-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennedy Smith's NPI number?

The NPI number for Kennedy Smith is 1003641796. It was assigned to this individual provider in the NPPES registry on September 3, 2024.

Where is Kennedy Smith located?

Kennedy Smith practices at 2455 Sutherland Ave Bldg A, Knoxville, TN 37919. The listed phone number is (865) 360-0245.

What is Kennedy Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kennedy Smith was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.