Serita M Smith, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5034 Issued in CT

Practice address

915 Poquonnock Rd
Groton, CT 06340-4257

Phone

(860) 446-0144

NPI assigned

Jul 31, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT, AZ, NV, CA, NM, FL6 enrollments

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 6

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27472/brand/9/csg/1/fhir/r4
• Direct secure messaging: serita.smith@237407481626628.direct.elationemr.com
• Direct secure messaging: serita.smith@xdr.hhchealthdirect.org

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.

• Natchaug Hospital, Inc.

  • Psychiatric Hospital
  • Mansfield Center, CT
  • NPI 1295811321
  Medicare reassignment NPD
• The William W Backus Hospital

  • General Acute Care Hospital
  • Norwich, CT
  • NPI 1467517235
  Medicare reassignment NPD
• Adobe PH Ca Medical Group, P.C.

  • Family Medicine Physician
  • Brea, CA
  • NPI 1427889195
  Medicare reassignment NPD
• Adobe PH PC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1891535142

  FL, NM, NV

  Medicare reassignment NPD
• Adobe Provider Group

  • Nurse Practitioner
  • Tempe, AZ
  • NPI 1659850279
  Medicare reassignment NPD
• Innovacare Florida Physicians, LLC

  dba Premier Family Health

  • Family Medicine Physician
  • Wellington, FL
  • NPI 1316694508
  Medicare reassignment NPD
• Prime Healthcare, PC

  • Internal Medicine Physician
  • Wethersfield, CT
  • NPI 1184819302
  Medicare reassignment
• William W Backus Hospital

  • Psychiatric Hospital Unit
  • Norwich, CT
  • NPI 1730243536
  NPD
• Premier Family Health

  • Family Medicine Physician
  • Wellington, FL
  • NPI 1245249655
  NPD

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1417203142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAIN ST",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293360",
            "telephone_number": "860-871-5402",
            "fax_number": "860-871-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 POQUONNOCK RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404257",
            "telephone_number": "860-446-0144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Main St",
            "address_purpose": "LOCATION",
            "city": "Ellington",
            "state": "CT",
            "postal_code": "060293360",
            "country_code": "US",
            "telephone_number": "860-871-5402",
            "fax_number": "860-871-5413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SERITA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "5034",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "5034",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008073642",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Marie Smith, LMSW
• Jessica Smith
• Kathleen Confrey Smith, LCSW
• Nicole Smith, MA, LPC
• Rebecca Z Smith
• William Anthony Smithson, PSYD
• Sol Integrative Wellness, LLC
• Kristine Elizabeth Sonstrom Malowski, AU.D., PH.D.
• Chastity Soto
• Soundview Orthopaedic Assoc. LLP

• Family Nurse Practitioner in Groton, CT
• Providers in Groton, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.