Denise Smith, BS, LCCE, FACCE

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

12547 Issued in NY

Practice address

620 Route 303
Blauvelt, NY 10913-1170

Phone

(845) 353-2730

Fax

(845) 353-2358

NPI assigned

Jul 2, 2014

Sex

Female

Sole proprietor

Yes

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

Bachelor of Science

State licenses

Practice roles

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.

• Coordinated Behavioral Care Ipa Inc

  • Multi-Specialty Clinic/Center
  • Bronx, NY
  • NPI 1457881443
  NPD (past)
• Samaritan Daytop Village, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Blauvelt, NY
  • NPI 1134240344
  NPD (past)

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1235545906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 N MAGNOLIA ST",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651717",
            "telephone_number": "845-300-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 ROUTE 303",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131170",
            "telephone_number": "845-353-2730",
            "fax_number": "845-353-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "BS, LCCE, FACCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NY",
            "license": "12547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Joy Sierra
• Christina Sirera, FNP
• Rania Skaf, PMHNP
• Carol Ann Slattery, EDD, LCSW-R
• Chevonne Small-Washington, LPN
• South Orangetown Central School District
• St.Dominic'S Home
• St.Dominic'S Home
• St.Dominic'S Home
• St.Dominic'S Home

• Health Educator in Blauvelt, NY
• Providers in Blauvelt, NY by specialty
• Health Educator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.