Active NPI
Monica Smith, LPN
- Licensed Practical Nurse
- Pittsburgh, PA
National Provider Identifier
1124796156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN254042L
- Practice address
- 1425 Beaver Avenue
Pittsburgh, PA 15233-2313 - Phone
- (412) 322-8415
- NPI assigned
- Sep 3, 2021
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN254042L | PA | Primary |
Addresses
Primary practice location
1425 Beaver Avenue
Pittsburgh, PA 15233-2313
Mailing address
1425 Beaver Avenue
Pittsburgh, PA 15233-2313
Phone (412) 322-8415
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN254042L | PA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tadiso Incorporated | Current | Accepting new patients |
Locations
1425 Beaver Ave
Pittsburgh, PA 15233
Phone (412) 322-8415
Organizations & group practices 1
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": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630627200000",
"number": "1124796156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 BEAVER AVENUE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152332313",
"telephone_number": "412-322-8415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 BEAVER AVENUE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152332313",
"telephone_number": "412-322-8415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MONICA",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-03",
"last_updated": "2021-09-03",
"certification_date": "2021-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "PA",
"license": "PN254042L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.