Active NPI
Laura Ann Smith-Creaser
- Psychiatric/Mental Health Registered Nurse
- Rome, NY
National Provider Identifier
1386941177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 602909
- Practice address
- 252 W. Dominick Street
Mental Health Connections
Rome, NY 13440 - Phone
- (315) 735-9501
- NPI assigned
- Feb 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 602909 | NY | Primary |
Addresses
Primary practice location
252 W. Dominick Street
Mental Health Connections
Rome, NY 13440
Mailing address
1980 Hard Scrabble Rd
Newport, NY 13416-2621
Other names 1
- Laura Ann Smith
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 602909 | NY | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Technologies | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rome, NY
- NPI 1417065426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297728000000",
"number": "1386941177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1980 HARD SCRABBLE RD",
"city": "NEWPORT",
"state": "NY",
"postal_code": "134162621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 W. DOMINICK STREET",
"address_2": "MENTAL HEALTH CONNECTIONS",
"city": "ROME",
"state": "NY",
"postal_code": "13440",
"telephone_number": "315-735-9501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH-CREASER",
"first_name": "LAURA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-15",
"last_updated": "2011-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NY",
"license": "602909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "SMITH",
"middle_name": "ANN",
"credential": "R.N.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.