Active NPI
Lynn Sara Smith, RN,NP
- Pediatric Nurse Practitioner
- Jamaica, NY
National Provider Identifier
1215575261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 383036
- Practice address
- 8712 175TH St Unit 2a
Jamaica, NY 11432-5776 - Phone
- (718) 360-0907
- NPI assigned
- Dec 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 383036 | NY | Primary |
Addresses
Primary practice location
8712 175TH St Unit 2a
Jamaica, NY 11432-5776
Mailing address
621 Wellelein Rd
Uniondale, NY 11553-3215
Phone (516) 456-7163
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
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 383036 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Physicians Group, PLLC | Past | Accepting new patients | |
| Kids Care Pediatric Associates, PC | Past | Accepting new patients | |
| M L Nahar Medical Office PLLC | Past | Accepting new patients | |
| Steven F Cogan & Warren P Silberstein, LLP | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- lynn.smith.1@29151.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Melville, NY
- NPI 1396944799
-
- Pediatrics Physician
- Elmont, NY
- NPI 1568693737
-
- Pediatrics Physician
- Jamaica, NY
- NPI 1902461270
-
- Pediatrics Physician
- Lynbrook, NY
- NPI 1780761759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576713600000",
"number": "1215575261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 WELLELEIN RD",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115533215",
"telephone_number": "516-456-7163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8712 175TH ST UNIT 2A",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114325776",
"telephone_number": "718-360-0907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LYNN",
"middle_name": "SARA",
"credential": "RN,NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-19",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "383036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.