Daniel Smith, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4790877-4405 Issued in UT

Practice address

5097 S 900 E Ste 100
Murray, UT 84117-5725

Phone

(801) 414-8758

NPI assigned

Jul 24, 2020

Sex

Male

Sole proprietor

No

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.

• Jordan Ridge Family Medicine LLC

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1770509754

  UT

  Medicare reassignment NPD
• Scenic Way LLC

  • Hospitalist Physician
  • Murray, UT
  • NPI 1952175127

  UT

  Medicare reassignment NPD
• Silverton Group LLC

  • Hospitalist Physician
  • Murray, UT
  • NPI 1629303169

  UT

  Medicare reassignment NPD
• Jordan Ridge Family Medicine LLC

  • Family Medicine Physician
  • West Valley City, UT
  • NPI 1306275227
  NPD
• Jordan Ridge Family Medicine LLC

  • Primary Care Clinic/Center
  • Sandy, UT
  • NPI 1962166710
  NPD

Medicare fee-for-service enrollment

Enrolled in UT

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: dsmith116914@westdirect.optum.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2020.

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1356950554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N 30 W",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031621",
            "telephone_number": "801-882-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5097 S 900 E STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841175725",
            "telephone_number": "801-414-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DANIEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "4790877-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amra Rose Starchild Smith
• Andrew Mark Smith, D.M.D.
• Bradley W Smith, MD
• Christian Smith
• Clara Smith
• Emily Lott Smith, MS, CCC-SLP
• Emily S Smith, PA
• Erica Lynn Smith, M.D.
• Esther Ellen Smith, DPT
• Helen Smith

• All providers in Murray, UT
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.