Penny Chrystal Smith, NNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

0024177131 Issued in VA

Practice address

600 Childrens LN
Norfolk, VA 23507-1900

Phone

(757) 668-7000

NPI assigned

Jan 10, 2019

Sex

Female

Sole proprietor

No

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1013480110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 WILLIAMSBURG GLADE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852113",
            "telephone_number": "757-329-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CHILDRENS LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071900",
            "telephone_number": "757-668-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PENNY",
        "middle_name": "CHRYSTAL",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "VA",
            "license": "0024177131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lee Smith, M.D.
• Molly K Smith, MD
• Natalia Paloma Smith, PHARMD
• Natalie Laing Smith
• Patricia Smith
• Philip C Smith, M.D., PHD
• Ray M Smith III, MD
• Raymond Smith, LCSW-C, , LCSW, QCSW
• Rodrica Smith
• Shannon Taylor Smith, CPNP

• Neonatal Nurse Practitioner in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Neonatal Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.