Individual provider Active NPI

Terilyn Smith, CRNP

  • Adult Health Nurse Practitioner
  • Plumsteadville, PA
National Provider Identifier
1285669580
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
TP005090C Issued in PA
Practice address
5612 Easton Rd
Plumsteadville, PA 18949
Phone
(215) 766-8844
Fax
(215) 766-0733
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X TP005090C PA Primary

Addresses

Primary practice location

5612 Easton Rd
Plumsteadville, PA 18949

Mailing address

5612 Easton Rd
P O Box 866
Plumsteadville, PA 18949
Phone (215) 766-8844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20091230000079 PA Practitioner - Nurse Practitioner 1052451838 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP005090CPAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bucks County Medical Associates, P.C. CurrentSince Jul 11, 2016 Accepting new patients

Locations

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

2003 Lower State Rd
Unit 110
Doylestown, PA 18901
Phone (215) 348-1310

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1285669580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 EASTON RD",
            "address_2": "P O BOX 866",
            "city": "PLUMSTEADVILLE",
            "state": "PA",
            "postal_code": "18949",
            "telephone_number": "215-766-8844",
            "fax_number": "215-766-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 EASTON RD",
            "city": "PLUMSTEADVILLE",
            "state": "PA",
            "postal_code": "18949",
            "telephone_number": "215-766-8844",
            "fax_number": "215-766-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TERILYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "TP005090C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plumsteadville, PA

Sources for this page

Verify at the official NPI Registry.