Individual provider Active NPI

Erin Renee Smith, FNP

  • Family Nurse Practitioner
  • Rock Hill, SC
National Provider Identifier
1255333779
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
80869 Issued in SC
Practice address
1147 Ebenezer Rd
Rock Hill, SC 29732-2355
Phone
(803) 329-6648
Fax
(803) 985-4134
NPI assigned
Aug 15, 2005
Last updated
Jun 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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 80869 SC Primary

Addresses

Primary practice location

1147 Ebenezer Rd
Rock Hill, SC 29732-2355

Mailing address

1309 Yellowood CT
Rock Hill, SC 29732-8070
Phone (803) 329-6648

Other identifiers 2

IdentifierTypeStateIssuer
GP2323MedicaidSC
NP0541MedicaidSC

Other names 1

  • Mrs. Erin Renee Smith Biltcliffe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100129000768 SC Practitioner - Nurse Practitioner 3779626718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80869SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea Hope Speech Pathology LLC PastSince Jan 1, 2002 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1255333779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 YELLOWOOD CT",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297328070",
            "telephone_number": "803-329-6648",
            "fax_number": "803-985-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322355",
            "telephone_number": "803-329-6648",
            "fax_number": "803-985-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIN",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "80869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2323",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0541",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "BILTCLIFFE",
            "middle_name": "RENEE SMITH",
            "prefix": "MRS.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.