Individual provider Active NPI

Veronica Rae Ann Smith, RN, MSN, CNP

  • Primary Care Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1316214760
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
020152 Issued in OH
Practice address
2711 Randolph Rd Ste 100
Charlotte, NC 28207-2027
Phone
(704) 342-1900
Fax
(704) 377-0353
NPI assigned
Nov 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 020152 OH Primary

Addresses

Primary practice location

2711 Randolph Rd Ste 100
Charlotte, NC 28207-2027

Mailing address

41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818
Phone (248) 660-1220

Other names 1

  • Veronica Rae Ann Smith Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20161212002386 OH Practitioner - Nurse Practitioner 5395903264 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
020152OHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Living Palliative Care Greater Toledo LLC CurrentSince Jun 29, 2022 Accepting new patients
Complexcare Medical Group Midwest M PLLC Nurse Practitioner CurrentSince Jun 9, 2025 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Jan 18, 2025 Accepting new patients
Pain Zero, LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

1155 Atwater Ave
Circleville, OH 43113
Phone (614) 592-0240

5151 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 337-1066

4207 Gantz Rd
Grove City, OH 43123
Phone (614) 647-2526

5031 Forest Dr
Ste C
New Albany, OH 43054
Phone (614) 647-2526

904 Issac Sts
Oregon, OH 43616
Phone (419) 691-2483

7120 Port Sylvania Dr
Toledo, OH 43617
Phone (419) 841-2200

9200 Worthington Rd
Ste 300
Westerville, OH 43082
Phone (614) 888-7800

6830 N High St
Worthington, OH 43085
Phone (614) 252-4931

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJGGCD

Organizations & group practices 4

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": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1316214760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41800 W 11 MILE RD STE 109",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751818",
            "telephone_number": "248-660-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 RANDOLPH RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072027",
            "telephone_number": "704-342-1900",
            "fax_number": "704-377-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "VERONICA",
        "middle_name": "RAE ANN",
        "credential": "RN, MSN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "020152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "SMITH",
            "middle_name": "RAE ANN",
            "credential": "RN, MSN, CNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.