Beverly Elaine Smith, DNP,ANP-BC, NE-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

303560 Issued in NY

Practice address

160 E 34TH St
LL I
New York, NY 10016-4744

Phone

(212) 731-5476

NPI assigned

Feb 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Beverly E Smith Other name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: bsmith682891@nychhc.direct-ci.com
• Direct secure messaging: bsmith36125@nyumc.direct-ci.com

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1356483275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 1ST AVE APT 19M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166491",
            "telephone_number": "212-684-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E 34TH ST",
            "address_2": "LL I",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164744",
            "telephone_number": "212-731-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BEVERLY",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "DNP,ANP-BC, NE-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "303560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1356483275",
            "identifier": "1356483275",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "SMITH",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "DNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Barry L Smith, MD
• Barry Todd Smith, M.D.
• Benjamin Smith, M.D., M.S.
• Benjamin Michael Smith, CNM
• Beverly Smith
• Brandon Smith, RN, STUDENT NP
• Brian E. Smith, PH.D., J.D.
• Brigitte Alexa Smith, PA-C
• Brooke Victoria Smith
• Bruce G Smith, LCSW

• Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.

Verify at the official NPI Registry.