Martha Lynn Smith, FNP
Individual provider Active NPI Family Nurse Practitioner · Sherburne, NY
NPI 1285069112 · NPPES record last updated Sep 11, 2013
Key facts
- NPI
- 1285069112
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 338084 (NY)
- Practice address
- 20 Chapel St
Sherburne, NY 13460 - Phone
- (607) 674-2445
- Fax
- (607) 674-4338
- NPI assigned
- Sep 11, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
-
Michael PM Pond, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140221000346 | NY | Practitioner - Nurse Practitioner | 8921238890 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Imogene Bassett Hospital | Current |
Accepting new patients | |
| Mary Imogene Bassett Hospital | Current |
Accepting new patients |
Locations
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
20 Chapel St
Sherburne, NY 13460
Phone (607) 674-2445
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 338084 | NY | Yes |
Addresses
Primary practice location
20 Chapel St
Sherburne, NY 13460
Mailing address
PO Box 725
Cooperstown, NY 13326-0725
Phone (607) 674-2445
Other providers in Sherburne, NY
- Christine Ellen Palmer
- Amy Rebecca Pinney
- Sofie M Pinney
- Steven Russell
- Sherburne-Earlville Central School
- Gary D Steward
- Kathleen Steward
- Elyse Thayer
- Town of Columbus
- Village of Sherburne
All providers in Sherburne, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.