Individual provider Active NPI

Catherine Donahue-Smith, NP

  • Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1124099973
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LB0000151 Issued in DE
Practice address
3506 Kennett Pike
Pain Management & Rehabilatative Institute
Wilmington, DE 19807-3019
Phone
(302) 661-3070
Fax
(302) 661-3080
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LB0000151 DE Primary

Addresses

Primary practice location

3506 Kennett Pike
Pain Management & Rehabilatative Institute
Wilmington, DE 19807-3019

Mailing address

PO Box 30170
Wilmington, DE 19805
Phone (302) 623-7200

Other identifiers 2

IdentifierTypeStateIssuer
P00225299OtherRAILROAD MEDICARE
1124099973MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050426000582 DE Practitioner - Nurse Practitioner 6002882008 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LB0000151DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Nurse Practitioner Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 7, 2005 Accepting new patients
Young Men'S Christian Association of Delaware CurrentSince Feb 20, 2020 Accepting new patients
Christiana Care Health Services Inc Nurse Practitioner CurrentSince Mar 7, 2005 Accepting new patients

Locations

300 Biddle Ave
Ste 201
Newark, DE 19702
Phone (302) 661-3070

3506 Kennett Pike
Wilmington, DE 19807
Phone (302) 661-3000

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1124099973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30170",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19805",
            "telephone_number": "302-623-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 KENNETT PIKE",
            "address_2": "PAIN MANAGEMENT & REHABILATATIVE INSTITUTE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198073019",
            "telephone_number": "302-661-3070",
            "fax_number": "302-661-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE-SMITH",
        "first_name": "CATHERINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LB0000151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00225299",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124099973",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.