Active NPI
Casey Lee Smith-Monheim, RN
- Registered Nurse
- Bath, NY
National Provider Identifier
1023776887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 739086
- Practice address
- 7571 State Route 54
Bath, NY 14810-9504 - Phone
- (607) 775-8500
- Fax
- (607) 776-8754
- NPI assigned
- Nov 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 739086 | NY | Primary |
Addresses
Primary practice location
7571 State Route 54
Bath, NY 14810-9504
Mailing address
113 Park PL
Bath, NY 14810-1239
Phone (697) 347-5538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 739086 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638144000000",
"number": "1023776887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 PARK PL",
"city": "BATH",
"state": "NY",
"postal_code": "148101239",
"telephone_number": "697-347-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7571 STATE ROUTE 54",
"city": "BATH",
"state": "NY",
"postal_code": "148109504",
"telephone_number": "607-775-8500",
"fax_number": "607-776-8754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH-MONHEIM",
"first_name": "CASEY",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-29",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "739086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bath, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.