Individual provider Active NPI

Brittany J Smith, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleveland Heights, OH
National Provider Identifier
1396258273
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0032638 Issued in OH
Practice address
5 Severance Cir Ste 705
Cleveland Heights, OH 44118-1590
Phone
(216) 659-4613
NPI assigned
Nov 14, 2017
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.433238 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0032638 OH Primary

Addresses

Primary practice location

5 Severance Cir Ste 705
Cleveland Heights, OH 44118-1590

Mailing address

3675 Warrensville Center Road
Suite 201635
Shaker Heights, OH 44120-8110
Phone (216) 659-4613

Other practice location 1

13201 Granger Rd Ste 8
Cleveland, OH 44125-1979
Phone (216) 831-2255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20230105001511 OH Practitioner - Nurse Practitioner 3870963911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

675 Alpha Dr
Suite G
Highland Heights, OH 44143-2139
Phone (440) 664-1446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.433238OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Debalzo Elgudin Levine Risen LLC CurrentSince Dec 1, 2022 Accepting new patients
Grayh Matters LLC Psychiatric/Mental Health CurrentSince Apr 1, 2024 Accepting new patients

Locations

23425 Commerce Park
Ste 104
Beachwood, OH 44122
Phone (216) 831-2900

675 Alpha Dr
Ste G
Highland Hts, OH 44143
Phone (216) 347-8498

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1396258273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 WARRENSVILLE CENTER ROAD",
            "address_2": "SUITE 201635",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441208110",
            "telephone_number": "216-659-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SEVERANCE CIR STE 705",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181590",
            "telephone_number": "216-659-4613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13201 Granger Rd Ste 8",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441251979",
            "country_code": "US",
            "telephone_number": "216-831-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRITTANY",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.433238",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0032638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

Verify at the official NPI Registry.