Individual provider Active NPI

Nancy Butts Smith, FNP

  • Family Nurse Practitioner
  • Seneca, SC
National Provider Identifier
1346405982
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3645 Issued in SC
Practice address
15575 Wells Hwy
Seneca, SC 29678-1664
Phone
(864) 886-2000
Fax
(864) 888-3618
NPI assigned
Jul 23, 2008
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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 3645 SC Primary

Addresses

Primary practice location

15575 Wells Hwy
Seneca, SC 29678-1664

Mailing address

15575 Wells Hwy
Seneca, SC 29678-1664
Phone (864) 886-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20130923000665 SC Practitioner - Nurse Practitioner 8325282866 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Medical Associates PA Family CurrentSince Jul 1, 2013 Accepting new patients

Locations

15575 Wells Hwy
Seneca, SC 29678
Phone (864) 886-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19939/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nancy.smith.1@19939.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1346405982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15575 WELLS HWY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781664",
            "telephone_number": "864-886-2000",
            "fax_number": "864-888-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15575 WELLS HWY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781664",
            "telephone_number": "864-886-2000",
            "fax_number": "864-888-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NANCY",
        "middle_name": "BUTTS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.