Active NPI
Kim Susan Mercer-Smith, CRNP
- Acute Care Nurse Practitioner
- Leonardtown, MD
National Provider Identifier
1346809571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- R140244
- Practice address
- 25500 Point Lookout Rd
Leonardtown, MD 20650-2015 - Phone
- (301) 475-8981
- NPI assigned
- Jun 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | R140244 | MD | Primary |
Addresses
Primary practice location
25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Mailing address
26332 T Wood Dr
Mechanicsville, MD 20659-4654
Phone (443) 750-2139
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
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1346809571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26332 T WOOD DR",
"city": "MECHANICSVILLE",
"state": "MD",
"postal_code": "206594654",
"telephone_number": "443-750-2139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25500 POINT LOOKOUT RD",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206502015",
"telephone_number": "301-475-8981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCER-SMITH",
"first_name": "KIM",
"middle_name": "SUSAN",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-11",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MD",
"license": "R140244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leonardtown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.