Active NPI
Phiona Smart
- Family Nurse Practitioner
- Fishkill, NY
National Provider Identifier
1356069967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F349138-01
- Practice address
- 600 Westage Business Ctr Dr
Fishkill, NY 12524-2281 - Phone
- (184) 551-8030
- NPI assigned
- Aug 19, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F349138-01 | NY | Primary |
Addresses
Primary practice location
600 Westage Business Ctr Dr
Fishkill, NY 12524-2281
Mailing address
PO Box 7
Fishkill, NY 12524-0007
Phone (184) 551-8403
Other practice location 1
30 Columbia St
Poughkeepsie, NY 12601-3906
Phone (184) 551-8403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260204000607 | NY | Order and Referring Only - Nurse Practitioner | 5890273445 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F349138-01 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1356069967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125240007",
"telephone_number": "184-551-8403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 WESTAGE BUSINESS CTR DR",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125242281",
"telephone_number": "184-551-8030"
}
],
"practiceLocations": [
{
"address_1": "30 Columbia St",
"address_purpose": "LOCATION",
"city": "Poughkeepsie",
"state": "NY",
"postal_code": "126013906",
"country_code": "US",
"telephone_number": "184-551-8403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMART",
"first_name": "PHIONA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-19",
"last_updated": "2022-08-19",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F349138-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fishkill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.