Active NPI
Irene Alberta Smith, CAC A&D
- Case Manager/Care Coordinator
- Hagerstown, MD
National Provider Identifier
1063679470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- AC0257
- Practice address
- 1302 Pennsylvania Ave
Cameo House
Hagerstown, MD 21740 - Phone
- (240) 313-3329
- Fax
- (301) 790-1314
- NPI assigned
- May 22, 2008
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | AC0257 | MD | Primary |
Addresses
Primary practice location
1302 Pennsylvania Ave
Cameo House
Hagerstown, MD 21740
Mailing address
307 N Main St
Boonsboro, MD 21713-1011
Phone (301) 432-8441
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC0257 | MD | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1063679470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 N MAIN ST",
"city": "BOONSBORO",
"state": "MD",
"postal_code": "217131011",
"telephone_number": "301-432-8441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 PENNSYLVANIA AVE",
"address_2": "CAMEO HOUSE",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "21740",
"telephone_number": "240-313-3329",
"fax_number": "301-790-1314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "IRENE",
"middle_name": "ALBERTA",
"name_prefix": "Ms.",
"credential": "CAC A&D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MD",
"license": "AC0257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.