Individual provider Active NPI

Letonya Maria Smith, C.R.N.P.

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1164516746
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R123696 Issued in MD
Practice address
9105 Franklin Square Dr
Suite 304
Baltimore, MD 21237-3930
Phone
(443) 777-6351
Fax
(410) 391-0427
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R123696 MD Primary

Addresses

Primary practice location

9105 Franklin Square Dr
Suite 304
Baltimore, MD 21237-3930

Mailing address

1838 Greene Tree Rd
Ste 135
Pikesville, MD 21208-7108

Other practice location 1

1838 Greene Tree Rd Ste 135
Pikesville, MD 21208-7108
Phone (443) 471-0460

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address letonya.smith.p2@direct.clinicalassociates.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20050805000398 MD Practitioner - Nurse Practitioner 5496784860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Maryland School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Associates P aGroup PAC ID 1254631005, 44 clinicians

Practice addresses (Care Compare)

1838 Greene Tree Rd
Suite 135
Pikesville, MD 21208-7108
Phone (443) 471-0460

Merit-based Incentive Payment System (MIPS)

Final score
81.85 of 100Reported as group
Quality
80.72
Promoting interoperability
79
Improvement activities
40
Cost
76.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Associates P a CurrentSince Jan 1, 2016 Accepting new patients
Clinical Associates PA CurrentSince Jan 1, 2016 Accepting new patients
DRS Bob Lakhani Zibell Pierce & Miller PastSince Dec 1, 2009 Accepting new patients

Locations

1838 Greene Tree Rd
Pikesville, MD 21208
Phone (410) 486-8106

1838 Greene Tree Rd
Ste 135
Pikesville, MD 21208
Phone (443) 471-0460

515 Fairmount Ave
Ste 330
Towson, MD 21286
Phone (410) 494-1314

Organizations & group practices 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1164516746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "STE 135",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212087108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 FRANKLIN SQUARE DR",
            "address_2": "SUITE 304",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373930",
            "telephone_number": "443-777-6351",
            "fax_number": "410-391-0427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1838 Greene Tree Rd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212087108",
            "country_code": "US",
            "telephone_number": "443-471-0460",
            "fax_number": "410-584-1886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LETONYA",
        "middle_name": "MARIA",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R123696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "letonya.smith.p2@direct.clinicalassociates.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1838 Greene Tree Rd Ste 135",
            "city": "Pikesville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212087108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.