Active NPI
Catherine Donahue-Smith, NP
- Nurse Practitioner
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- LB0000151
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00225299 | Other | RAILROAD MEDICARE | |
| 1124099973 | Medicaid | DE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LB0000151 | DE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc | Nurse Practitioner | Current | Accepting new patients |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Young Men'S Christian Association of Delaware | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Nurse Practitioner | Current | 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
Nurse Practitioner
-
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1407830748
Nurse Practitioner
-
- Health Educator
- Wilmington, DE
- NPI 1205381332
-
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.