NPIMap

Individual provider Active NPI

Jennifer Smith, CRNP

  • Family Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1285220533
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP022752 Issued in PA
Practice address
1230 S Cedar Crest Blvd
Allentown, PA 18103-6367
Phone
(610) 402-8950
Fax
(610) 402-1059
NPI assigned
Dec 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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 SP022752 PA Primary

Addresses

Primary practice location

1230 S Cedar Crest Blvd
Allentown, PA 18103-6367

Mailing address

20 Doe Ridge Dr
Fleetwood, PA 19522-9624
Phone (484) 650-0366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210222002124 PA Practitioner - Nurse Practitioner 0547675753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1230 S Cedar Crest Blvd
201 LVPG Internal Medicine
Allentown, PA 18103-6365
Phone (610) 402-8950

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Mar 1, 2021 Accepting new patients
Lehigh Valley Physician Group CurrentSince Mar 1, 2021 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Lehigh Valley Physician Group PastSince Dec 27, 2020 Accepting new patients

Locations

1101 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 240-4073

1230 S Cedar Crest Blvd
Ste 201
Allentown, PA 18103
Phone (610) 402-8950

2100 Mack Blvd
Fl 4
Allentown, PA 18103

2101 Emrick Blvd
Ste 101
Bethlehem, PA 18020
Phone (484) 895-3360

120 Burrus Blvd
Brodheadsville, PA 18322
Phone (570) 402-6101

200 E Brown St
East Stroudsburg, PA 18301
Phone (570) 476-3700

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

3701 Corriere Rd
Ste 10
Palmer Township, PA 18045
Phone (484) 591-7060

1337 Blue Valley Dr
Ste 7
Pen Argyl, PA 18072
Phone (610) 654-1270

101 W 7th St
Pennsburg, PA 18073
Phone (215) 679-3200

200 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-9200

2741 MacArthur Rd
Whitehall, PA 18052
Phone (610) 403-6000

Organizations & group practices 6

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1285220533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DOE RIDGE DR",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195229624",
            "telephone_number": "484-650-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036367",
            "telephone_number": "610-402-8950",
            "fax_number": "610-402-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.