CHANIQUA DOMINIQUE SMITH PMHNP-BC NPI 1164104543

NPI Information

  • NPI: 1164104543
  • Provider Name: CHANIQUA DOMINIQUE SMITH, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8000 CENTERVIEW PKWY STE 201
    CORDOVA, TN
    ZIP 38018
  • Phone: (615) 320-1155

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NPI Details

Chaniqua Dominique Smith, PMHNP-BC is a psychiatric/mental health nurse practitioner in Cordova, TN. Chaniqua Dominique Smith, PMHNP-BC NPI is 1164104543. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8000 CENTERVIEW PKWY STE 201
CORDOVA, TN
ZIP 38018-256
Phone: (615) 320-1155
Fax: (615) 320-1177

The NPI 1164104543 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 8/3/2023 and was last updated on 1/30/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health906158MISSISSIPPINo
2363LP0808XNurse PractitionerPsychiatric/Mental Health36433TENNESSEEYes

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: 3/30/2025

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