Active NPI
Brandy G Smith, FNP-BC
- Family Nurse Practitioner
- Greenwood, MS
National Provider Identifier
1124257902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R859059
- Practice address
- 2901 Highway 82 E
Greenwood, MS 38930-2960 - Phone
- (662) 374-2185
- Fax
- (662) 374-2195
- NPI assigned
- Jul 14, 2009
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R859059 | MS | Primary |
Addresses
Primary practice location
2901 Highway 82 E
Greenwood, MS 38930-2960
Mailing address
27627 Highway 442
Schlater, MS 38952-3221
Phone (662) 299-5208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R859059 | MS | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271980800000",
"number": "1124257902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27627 HIGHWAY 442",
"city": "SCHLATER",
"state": "MS",
"postal_code": "389523221",
"telephone_number": "662-299-5208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 HIGHWAY 82 E",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389302960",
"telephone_number": "662-374-2185",
"fax_number": "662-374-2195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BRANDY",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-14",
"last_updated": "2010-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R859059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.