Individual provider Active NPI

Emilie Ann Smith, WHNP-BC

  • Reproductive Endocrinology Physician
  • Fairfax, VA
National Provider Identifier
1215573860
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
0024178196 Issued in VA
Practice address
8501 Arlington Blvd
Suite 500
Fairfax, VA 22031-4631
Phone
(571) 766-3376
Fax
(855) 758-2634
NPI assigned
Nov 19, 2019
Last updated
Nov 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 0024178196 VA Primary

Addresses

Primary practice location

8501 Arlington Blvd
Suite 500
Fairfax, VA 22031-4631

Mailing address

8501 Arlington Blvd Ste 500
Fairfax, VA 22031-4631
Phone (571) 766-3376

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address emilie.smith@sgfertility.com Direct
Direct Messaging Address emilie.smith@sgfertility.com

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

LicenseStateTypeSpecialty
0024178196VAMDReproductive Endocrinology Physician

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1215573860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 ARLINGTON BLVD STE 500",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314631",
            "telephone_number": "571-766-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 ARLINGTON BLVD",
            "address_2": "SUITE 500",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314631",
            "telephone_number": "571-766-3376",
            "fax_number": "855-758-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EMILIE",
        "middle_name": "ANN",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "VA",
            "license": "0024178196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emilie.smith@sgfertility.com",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8501 Arlington Blvd Ste 500",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220314631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emilie.smith@sgfertility.com",
            "affiliation": "N",
            "address_1": "8501 Arlington Blvd Ste 500",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220314631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.