Smitha Ajesh, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11009329 Issued in FL

Practice address

1790 E Venice Ave Ste 204
Venice, FL 34292-3191

Phone

(941) 488-8884

Fax

(941) 488-5554

NPI assigned

Oct 21, 2020

Sex

Female

Sole proprietor

Yes

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.

• 901 45TH Street West Palm Beach Florida Behavioral Health Hospital LLC

  • Psychiatric Hospital
  • Mangonia Park, FL
  • NPI 1396312021

  FL

  Medicare reassignment NPD
• Boynton Beach Florida Behavioral Health Hospital Company, LLC

  • Psychiatric Hospital
  • Boynton Beach, FL
  • NPI 1023774932

  FL

  Medicare reassignment NPD
• Cornerstone Psychiatric Services Inc

  • Psychiatry Physician
  • Venice, FL
  • NPI 1932195187

  FL, Psychiatric/Mental Health

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  FL, Psychiatric/Mental Health

  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  FL

  Medicare reassignment NPD
• Confidence Psychiatric Associates

  • Psychiatric/Mental Health Nurse Practitioner
  • Sarasota, FL
  • NPI 1669209474

  Psychiatric/Mental Health

  NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in FL

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: records@cornerstone-psych.direct.kno2fy.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 5, 2021.

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1356940217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 E VENICE AVE STE 204",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923191",
            "telephone_number": "941-488-8884",
            "fax_number": "941-488-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 E VENICE AVE STE 204",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923191",
            "telephone_number": "941-488-8884",
            "fax_number": "941-488-5554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9833 Westview Dr Apt 829",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330762537",
            "country_code": "US",
            "telephone_number": "954-451-7918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AJESH",
        "first_name": "SMITHA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11009329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@cornerstone-psych.direct.kno2fy.com",
            "affiliation": "Y",
            "affiliationName": "Cornerstone Psychiatric Services Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1790 E Venice Ave Ste 204",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342923191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aging in Place Home Care,LLC
• Katie R. Agnello, M.D.
• Raffi E Agopian, M.D.
• Adam Lee Agran, D.C.
• William Herman Aippersbach, DMD
• Alan Schaeprklaus, DDS, PA
• Albee Farm Road Opco LLC
• Ansley Rice Albert, DC
• Albertsons LLC
• Brittany Alden

• All providers in Venice, FL
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.