Individual provider Active NPI

Miriam Jane Mott-Smith, FNP

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1215926241
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
235979 Issued in CA
Practice address
445 S Cedar Ave
Dept of Family Medicine, University Med Center
Fresno, CA 93702-2907
Phone
(559) 459-5705
Fax
(559) 459-4443
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 235979 CA Primary

Addresses

Primary practice location

445 S Cedar Ave
Dept of Family Medicine, University Med Center
Fresno, CA 93702-2907

Mailing address

666 E Carmen Ave
Fresno, CA 93728-1715
Phone (559) 264-7622

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central California Faculty Medical Group, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215926241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 E CARMEN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937281715",
            "telephone_number": "559-264-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 S CEDAR AVE",
            "address_2": "DEPT OF FAMILY MEDICINE, UNIVERSITY MED CENTER",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937022907",
            "telephone_number": "559-459-5705",
            "fax_number": "559-459-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTT-SMITH",
        "first_name": "MIRIAM",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "235979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.