Individual provider Active NPI

Nancy J Smith, DO

  • Psychiatry Physician
  • Moraine, OH
National Provider Identifier
1154343747
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34.050625 Issued in OH
Practice address
3095 Kettering Blvd
Moraine, OH 45439-1983
Phone
(937) 293-8300
NPI assigned
Jul 24, 2006
Last updated
May 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 34.050625 OH Primary
Psychiatry Physician 2084P0800X 3405625 OH

Addresses

Primary practice location

3095 Kettering Blvd
Moraine, OH 45439-1983

Mailing address

601 S Edwin C Moses Blvd
Dayton, OH 45417-3424
Phone (937) 734-8333

Other practice location 1

601 S Edwin C Moses Blvd
Dayton, OH 45417-3424
Phone (937) 734-8333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nancy.smith.1@17389.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070613000824 OH Practitioner - Psychiatry 2769403807 Reassigns benefits to 5 organizations
I20250723004529 OH Practitioner - Osteopathic Manipulative Medicine 2769403807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Community Inc.Group PAC ID 7315971066, 20 clinicians

Practice addresses (Care Compare)

3095 Kettering Blvd
Moraine, OH 45439-1983
Phone (937) 293-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34.050625OHMDPsychiatry Physician
3405625OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Ohio, LLC CurrentSince Nov 1, 2014 Accepting new patients
Samaritan Behavioral Health, Inc. Current Accepting new patients
Samaritan Behavioral Health, Inc. CurrentSince May 26, 2019 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Feb 26, 2018 Accepting new patients
South Community Inc. CurrentSince Jun 2, 2025 Accepting new patients
Access Behavioral LLC Psychiatry CurrentSince Nov 1, 2014 Accepting new patients
Somc Medical Care Foundation, Inc. Psychiatry CurrentSince Feb 26, 2018 Accepting new patients
Samaritan Behavioral Health, Inc. CurrentSince May 26, 2019 Accepting new patients
South Community Inc CurrentSince Jun 2, 2025 Accepting new patients
Access Ohio, LLC CurrentSince Nov 1, 2014 Accepting new patients
Uvpc Specialists, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Uvpc Specialists Inc. CurrentSince Jun 1, 2025 Accepting new patients

Locations

6400 E Broad St
Ste 400
Columbus, OH 43213
Phone (614) 367-7700

8100 Ravines Edge Ct
Ste 200
Columbus, OH 43235
Phone (614) 655-3345

2611 Wayne Ave
Dayton, OH 45420
Phone (937) 228-0579

2611 Wayne Ave
Bldg 61
Dayton, OH 45420
Phone (937) 228-0579

601 S Edwin C Moses Blvd
Dayton, OH 45417
Phone (937) 734-4310

601 S Edwin C Moses Blvd
Fl 4
Dayton, OH 45417
Phone (937) 734-8333

3095 Kettering Blvd
Moraine, OH 45439

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

1735 27th St
Ste 302
Portsmouth, OH 45662
Phone (740) 355-8562

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000

3130 N County Road 25A
Ste 212
Troy, OH 45373
Phone (937) 335-0061

3130 N County Road 25A
Uppr Vly
Troy, OH 45373
Phone (937) 335-3561

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/sbhihelp/r4/
  • Direct secure messaging: nancy.smith.1@17389.direct.athenahealth.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1154343747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S EDWIN C MOSES BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173424",
            "telephone_number": "937-734-8333",
            "fax_number": "937-384-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3095 KETTERING BLVD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391983",
            "telephone_number": "937-293-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 S Edwin C Moses Blvd",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454173424",
            "country_code": "US",
            "telephone_number": "937-734-8333",
            "fax_number": "937-384-4845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NANCY",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34.050625",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "3405625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nancy.smith.1@17389.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "601 S Edwin C Moses Blvd",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454173424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moraine, OH

Sources for this page

Verify at the official NPI Registry.