Stacy B Smartt-Gibson

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

RN1032487 Issued in DC

Practice address

2112 F St NW
Ste 102
Washington, DC 20037

Phone

(202) 349-3209

Fax

(202) 822-9130

NPI assigned

Mar 24, 2021

Sex

Female

Sole proprietor

Yes

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

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.

• The Foundation for Contemporary Mental Health

  • Public Health or Welfare Agency
  • Washington, DC
  • NPI 1316148554
  NPD (past)

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1114503596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6356 GORAL CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034319",
            "telephone_number": "301-503-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 F ST NW",
            "address_2": "STE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20037",
            "telephone_number": "202-349-3209",
            "fax_number": "202-822-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMARTT-GIBSON",
        "first_name": "STACY",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "RN1032487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsey Lynn Smardo, RD, LD
• Smart Start Academy
• Danielle Smart, DDS
• Pamela Ann Smart, MSW, LGSW
• Smartbridge Inc
• Smashing Smiles, PLLC
• Lisa C. Smeallie, AUD
• Smedley Psychological Services, LLC
• Jessica Marie Smedley, PSY.D.
• Janet Smereck

• All providers in Washington, DC
• Addiction (Substance Use Disorder) Registered Nurse in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.