Active NPI
Camille Anne-Marie Clarke-Smith, EDD, CES, MS
- Clinical Exercise Physiologist
- Pittsburgh, PA
National Provider Identifier
1205475241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- Practice address
- 7061 Lemington Ave
Pittsburgh, PA 15206-1256 - Phone
- (412) 865-9343
- NPI assigned
- Dec 21, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Exercise Physiologist | 224Y00000X | Primary | ||
| Pastoral Counselor | 101YP1600X | |||
| Exercise & Sports Psychologist | 103TE1100X |
Addresses
Primary practice location
7061 Lemington Ave
Pittsburgh, PA 15206-1256
Mailing address
2250 Beulah Rd
Pittsburgh, PA 15235-5025
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Camille.smith@thawinc.org | Direct |
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576886400000",
"number": "1205475241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 BEULAH RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152355025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7061 LEMINGTON AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152061256",
"telephone_number": "412-865-9343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE-SMITH",
"first_name": "CAMILLE",
"middle_name": "ANNE-MARIE",
"name_prefix": "Dr.",
"credential": "EDD, CES, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-21",
"last_updated": "2019-12-21",
"certification_date": "2019-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TE1100X",
"taxonomy_group": "",
"desc": "Psychologist, Exercise & Sports",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Camille.smith@thawinc.org",
"affiliation": "N",
"endpointDescription": "Business email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7061 Lemington Ave",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152061256",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.