Chevonne Smith, MSN, APRN-CNP, CCRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.025388 Issued in OH

Practice address

3094 W Market St Ste 240
Fairlawn, OH 44333-3624

Phone

(234) 201-7811

NPI assigned

Dec 17, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_csmit643@landmarkhealth-direct.org
• Direct secure messaging: chevonne.smith.p1@direct.alegiscare.nextgenshare.com
• Direct secure messaging: chevonne.smith.p2@direct.alegiscare.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Universal Wellness & Aesthetics

  • Nursing Care Agency
  • Fairlawn, OH
  • NPI 1063140374
  NPD Authorized official

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1356762462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3094 W MARKET ST STE 240",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333624",
            "telephone_number": "234-201-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3094 W MARKET ST STE 240",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333624",
            "telephone_number": "234-201-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHEVONNE",
        "credential": "MSN, APRN-CNP, CCRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-17",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "OH",
            "license": "RN350294",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.025388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanean D Small, NP
• Dewan Elizabeth Smith-Murray, BSN, RN, MSN,PMHAPRN
• Andre Smith
• Antoinette Smith
• Arlin T Smith, REGISTER NURSE
• Daniella Lenee Smith, LPC
• Darby Irene Smith
• Darmetrice O.C Smith
• Deanna Smith, OTR/L
• Elisha Smith

• Family Nurse Practitioner in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.