Andrew Ryan Smith, MS, RCEP, CCRP

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

1801 16TH St
Greeley, CO 80631-5154

Phone

(970) 810-6791

NPI assigned

Oct 12, 2017

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073024436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315154",
            "telephone_number": "970-810-6791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2125 74th Avenue Ct",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806347404",
            "country_code": "US",
            "telephone_number": "970-576-2239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANDREW",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "MS, RCEP, CCRP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smith Chiropractic Offices, P.C.
• Kathy Elisa Smith-Stillson, RN
• Alexandra Smith
• Amy Nicole Smith
• Andrew Smith, PSY.D
• Angannette M Smith, RD, RN, BSN
• Annemarie Smith
• Brett Evan Smith, DO
• Cathy Diane Smith, MD
• Chase Kathleen Smith

• Clinical Exercise Physiologist in Greeley, CO
• Providers in Greeley, CO by specialty
• Clinical Exercise Physiologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.