MEDICARE: MRS. KATIE ANNE HIRT FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	40988	TN
2	163W00000X	Registered Nurse	250260	TN

General Provider Information

NPI Number	:	1417823055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATIE ANNE HIRT FNP-C

Provider Business Mailing Address
First Line	:	1923 ALMAVILLE RD
Second Line	:
City	:	SMYRNA
State	:	TN
Zip	:	37167-5748
Country	:	US
Telephone Number	:	615-768-8024
Fax Number	:

Provider Business Practice Location Address
First Line	:	1923 ALMAVILLE RD
Second Line	:
City	:	SMYRNA
State	:	TN
Zip	:	37167-5748
Country	:	US
Telephone Number	:	615-768-8024
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2025
Last Update Date	:	06/08/2026

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