Individual provider Active NPI

Clifford W Smith, CRNP

  • Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1376862003
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP010772 Issued in PA
Practice address
200 Delafield Rd Ste 4010
Pittsburgh, PA 15215-3235
Phone
(412) 784-5770
Fax
(412) 784-5776
NPI assigned
May 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP010772 PA Primary

Addresses

Primary practice location

200 Delafield Rd Ste 4010
Pittsburgh, PA 15215-3235

Mailing address

200 Delafield Rd Ste 4010
Pittsburgh, PA 15215-3235
Phone (412) 784-5770

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)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Healthcare Physician Services Inc Nurse Practitioner PastSince Mar 29, 2014 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1376862003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DELAFIELD RD STE 4010",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152153235",
            "telephone_number": "412-784-5770",
            "fax_number": "412-784-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DELAFIELD RD STE 4010",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152153235",
            "telephone_number": "412-784-5770",
            "fax_number": "412-784-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CLIFFORD",
        "middle_name": "W",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP010772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.