Provider Demographics
NPI:1629249750
Name:SMALLHEER, BENJAMIN ALLAN (PHD, RN, ACNP-BC)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:ALLAN
Last Name:SMALLHEER
Suffix:
Gender:M
Credentials:PHD, RN, ACNP-BC
Other - Prefix:
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Mailing Address - Street 1:501 GREAT CIRCLE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1317
Mailing Address - Country:US
Mailing Address - Phone:615-222-3449
Mailing Address - Fax:615-222-5322
Practice Address - Street 1:4220 HARDING PIKE
Practice Address - Street 2:SUITE 500
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2005
Practice Address - Country:US
Practice Address - Phone:615-222-3449
Practice Address - Fax:615-222-5322
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2017-01-26
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Provider Licenses
StateLicense IDTaxonomies
TN10818363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4321885OtherBLUE CROSS-BLUE SHIELD
TNP01039022OtherRR MEDICARE
TN1527495Medicaid
TN1527495Medicaid