Active NPI
Veronica Rae Ann Smith, RN, MSN, CNP
- Primary Care Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 020152
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020152 | OH | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Living Palliative Care Greater Toledo LLC | Current | Accepting new patients | |
| Complexcare Medical Group Midwest M PLLC | Nurse Practitioner | Current | Accepting new patients |
| Theoria Medical | Nurse Practitioner | Current | Accepting new patients |
| Pain Zero, LLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Novi, MI
- NPI 1528851607
Nurse Practitioner, OH
-
- Family Medicine Physician
- Toledo, OH
- NPI 1861981656
-
- Interventional Pain Medicine Physician
- New Albany, OH
- NPI 1912652603
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.