Active NPI
Christopher Rondall Smith, DOCTOR NSG PRACTICE
- Family Nurse Practitioner
- Minnetonka, MN
National Provider Identifier
1356697304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN0990962
- Practice address
- Unitedhealth Care
9800 Health Care LN
Minnetonka, MN 55436 - Phone
- (952) 992-7777
- NPI assigned
- Jul 27, 2012
- Sex
- Male
- 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 | APN0990962 | CO | Primary |
Addresses
Primary practice location
Unitedhealth Care
9800 Health Care LN
Minnetonka, MN 55436
Mailing address
PO Box 1459
Minneapolis, MN 55440-1459
Phone (949) 303-8582
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0990962 | CO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1356697304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1459",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554401459",
"telephone_number": "949-303-8582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNITEDHEALTH CARE",
"address_2": "9800 HEALTH CARE LN",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55436",
"telephone_number": "952-992-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CHRISTOPHER",
"middle_name": "RONDALL",
"name_prefix": "Dr.",
"credential": "DOCTOR NSG PRACTICE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-27",
"last_updated": "2023-01-05",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN0990962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.