Active NPI
Janelle Angelique Smith, RN
- Registered Nurse
- Philadelphia, PA
National Provider Identifier
1184481863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN785863
- Practice address
- 220 E Mermaid LN # T121
Philadelphia, PA 19118-3244 - Phone
- (267) 235-2439
- NPI assigned
- Feb 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | RN785863 | PA | |
| Administrator Registered Nurse | 163WA2000X | RN785863 | PA | |
| Community Health Registered Nurse | 163WC1500X | RN785863 | PA | |
| Diabetes Educator Registered Nurse | 163WD0400X | RN785863 | PA | |
| Home Health Registered Nurse | 163WH0200X | RN785863 | PA | |
| Hospice Registered Nurse | 163WH1000X | RN785863 | PA | |
| Infection Control Registered Nurse | 163WI0600X | RN785863 | PA | |
| Medical-Surgical Registered Nurse | 163WM0705X | RN785863 | PA | |
| Nephrology Registered Nurse | 163WN0300X | RN785863 | PA | |
| Nutrition Support Registered Nurse | 163WN1003X | RN785863 | PA | |
| Pain Management Registered Nurse | 163WP0000X | RN785863 | PA | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN785863 | PA | |
| Rehabilitation Registered Nurse | 163WR0400X | RN785863 | PA | |
| Wound Care Registered Nurse | 163WW0000X | RN785863 | PA | |
| Registered Nurse | 163W00000X | RN785863 | PA | Primary |
Addresses
Primary practice location
220 E Mermaid LN # T121
Philadelphia, PA 19118-3244
Mailing address
220 E Mermaid LN # T121
Philadelphia, PA 19118-3244
Phone (267) 235-2439
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN785863 | PA | MD | Rehabilitation Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1184481863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 E MERMAID LN # T121",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191183244",
"telephone_number": "267-235-2439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 E MERMAID LN # T121",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191183244",
"telephone_number": "267-235-2439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JANELLE",
"middle_name": "ANGELIQUE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-29",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "PA",
"license": "RN785863",
"primary": false
},
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "PA",
"license": "RN785863",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "PA",
"license": "RN785863",
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "PA",
"license": "RN785863",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "PA",
"license": "RN785863",
"primary": false
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "PA",
"license": "RN785863",
"primary": false
},
{
"code": "163WI0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infection Control",
"state": "PA",
"license": "RN785863",
"primary": false
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "PA",
"license": "RN785863",
"primary": false
},
{
"code": "163WN0300X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nephrology",
"state": "PA",
"license": "RN785863",
"primary": false
},
{
"code": "163WN1003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nutrition Support",
"state": "PA",
"license": "RN785863",
"primary": false
},
{
"code": "163WP0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pain Management",
"state": "PA",
"license": "RN785863",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "PA",
"license": "RN785863",
"primary": false
},
{
"code": "163WR0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Rehabilitation",
"state": "PA",
"license": "RN785863",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "PA",
"license": "RN785863",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN785863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.