Individual provider Active NPI

Catherine Regina Smart, NP-C

  • Family Nurse Practitioner
  • Monroe, MI
National Provider Identifier
1285092841
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704260998 Issued in MI
Practice address
1066 N Monroe St
Monroe, MI 48162-3113
Phone
(734) 240-4870
Fax
(734) 682-5083
NPI assigned
Feb 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 4704260998 MI Primary

Addresses

Primary practice location

1066 N Monroe St
Monroe, MI 48162-3113

Mailing address

10650 Maxwell Rd
Carleton, MI 48117-9370
Phone (734) 915-0856

Other practice location 1

1042 N Monroe St
Monroe, MI 48162-3113
Phone (734) 240-4870 ext. 1

Other names 1

  • Catherine Regina Jones Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address csmart36258@epicdirect.promedica.org

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

State licenses

LicenseStateTypeSpecialty
4704260998MIMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: csmart36258@direct.promedica.org
  • Direct secure messaging: csmart301269@direct.hfhs.org

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1285092841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 MAXWELL RD",
            "city": "CARLETON",
            "state": "MI",
            "postal_code": "481179370",
            "telephone_number": "734-915-0856",
            "fax_number": "734-682-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623113",
            "telephone_number": "734-240-4870",
            "fax_number": "734-682-5083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1042 N Monroe St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481623113",
            "country_code": "US",
            "telephone_number": "734-240-4870 x1",
            "fax_number": "734-682-5083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMART",
        "first_name": "CATHERINE",
        "middle_name": "REGINA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704260998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csmart36258@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "JONES",
            "middle_name": "REGINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.