Colleen A Smith, FNPC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

F3318581 Issued in NY

Practice address

3 Parkside CT
Utica, NY 13501

Phone

(315) 724-6787

Fax

(315) 735-6624

NPI assigned

Nov 1, 2006

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• OB/GYN Associates of Central New York, P.C.

  • Obstetrics & Gynecology Physician
  • Utica, NY
  • NPI 1932266475
  NPD (past)
• Utica Urologic Associates, P.C.

  • Urology Physician
  • Utica, NY
  • NPI 1073690830
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104904192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PARKSIDE CT",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015643",
            "telephone_number": "315-724-6787",
            "fax_number": "315-735-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PARKSIDE CT",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13501",
            "telephone_number": "315-724-6787",
            "fax_number": "315-735-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COLLEEN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "F3318581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sleep Disorders Lab of Central New York, LLC
• Sleep Well Be Happy LLC
• Sabrina Slutsky, DO
• Renee Small
• Carolyn M Smith, P.A.
• Jenna Smith, MS, RD, CDN
• Karalyn Smith
• Kenneth Alexander Smith, REGISTERED NURSE
• Korinne M Smith, FNP
• Krystal Smith, LMHC

• Obstetrics & Gynecology Physician in Utica, NY
• Providers in Utica, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.