Nicole Smith, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0064412 Issued in MD

Practice address

2415 Musgrove Rd Ste 301
Silver Spring, MD 20904-5223

Phone

(301) 236-9540

NPI assigned

Oct 4, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.smith@horizonpeds.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/EDEJCA/Endpoint/EDEJCA

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.

• Horizon Pediatrics Inc

  • Primary Care Clinic/Center
  • Silver Spring, MD
  • NPI 1689193252
  NPD Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Holy Cross Health, Inc

  dba Holy Cross Hospital

  • General Acute Care Hospital
  • Silver Spring, MD
  • NPI 1669417838
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1366537565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MUSGROVE RD STE 301",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045223",
            "telephone_number": "301-236-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MUSGROVE RD STE 301",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045223",
            "telephone_number": "301-236-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "DC",
            "license": "MD035828",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0064412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Smith, PH.D. PSYCHOLOGIST
• Maria Frances Smith, LCSW-C
• Mary Smith, NP
• Melissa Smith, PH.D.
• Michele Yvette Smith, P-LCSW
• Paula Smith, PHARMD, RPH
• Penny Lynn Smith, CRNP
• Stephanie Sayre Smith, D.O.
• Stephen A Smith, MD
• Tyla Denea Smith

• Pediatrics Physician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.