Active NPI
Thomas Levering Smart, CRNA
- Certified Registered Nurse Anesthetist
- Winona, MN
National Provider Identifier
1295825529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R137652-6
- Practice address
- 855 Mankato Ave
Winona, MN 55987-4868 - Phone
- (507) 454-3650
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R137652-6 | MN | Primary |
Addresses
Primary practice location
855 Mankato Ave
Winona, MN 55987-4868
Mailing address
416 Lake St
Winona, MN 55987-3019
Phone (507) 457-0860
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R137652-6 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winona Health Services | Current | Accepting new patients |
Locations
855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680
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.
-
- General Acute Care Hospital
- Winona, MN
- NPI 1295789352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295825529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 LAKE ST",
"city": "WINONA",
"state": "MN",
"postal_code": "559873019",
"telephone_number": "507-457-0860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 MANKATO AVE",
"city": "WINONA",
"state": "MN",
"postal_code": "559874868",
"telephone_number": "507-454-3650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMART",
"first_name": "THOMAS",
"middle_name": "LEVERING",
"name_prefix": "Dr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R137652-6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.