Darlene Smith, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

203433 Issued in OH

Practice address

11701 Gay Ave
Cleveland, OH 44105-2813

Phone

(216) 561-0608

Fax

(216) 561-8708

NPI assigned

Apr 6, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396867610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 GAY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441052813",
            "telephone_number": "216-561-0608",
            "fax_number": "216-561-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 GAY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441052813",
            "telephone_number": "216-561-0608",
            "fax_number": "216-561-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DARLENE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "203433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2219085",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Diane Smith, LISW-S
• Danene Smith
• Daniel Smith
• Danielle C Smith
• Darleathie Maria Smith
• David Lee Smith Jr., R.N.
• Dayja Smith
• Demetra Smith
• Derrick Smith
• Devon Patrick Smith, MD

• Home Health Registered Nurse in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Home Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.