Carol L Smith, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

556378-1 Issued in NY

Practice address

4549 Vinegar Hill Rd
Skaneateles, NY 13152-9385

Phone

(315) 685-0970

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1003150228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4549 VINEGAR HILL RD",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131529385",
            "telephone_number": "315-685-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4549 VINEGAR HILL RD",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131529385",
            "telephone_number": "315-685-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAROL",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "556378-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skaneateles Psychiatry, PLLC
• Skaneateles Spine & Sport, Inc.
• Skiff Physical Therapy, PLLC
• Sandra Joan Skiff, PT
• Thomas V Smallman, MD
• Ellen Smith, LCAT, MT-BC
• Kari Lynn Smith, LMSW
• Kerry Smith
• Sean Phillip Smith, DDS
• Emma Solomon

• Registered Nurse in Skaneateles, NY
• Providers in Skaneateles, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.