Teresa Smith, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

315677-1 Issued in NY

Practice address

34 Beaumont Lane
Lake Grove, NY 11755-2704

Phone

(631) 737-0725

NPI assigned

Sep 4, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1225286180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BEAUMONT LANE",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552704",
            "telephone_number": "631-737-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BEAUMONT LANE",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552704",
            "telephone_number": "631-737-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "315677-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Slochower, L.C.S.W.
• Smith Haven Dental PLLC
• Smith Haven Dentistry, PLLC
• Douglas Andrew Smith, RN
• Jessi M Smith, SLP
• Dawn Lynn Spring
• Scott A Stein, D.O.
• Stephanie Renee Grindell Mental Health Counselor, P.C.
• Emily Harlan Stetler, MD
• Laura Marie Stonborg

• Home Health Registered Nurse in Lake Grove, NY
• Providers in Lake Grove, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.