Individual provider Active NPI

Cynthia Ann Smith, RN,MS,CS

  • Adult Psychiatric/Mental Health Registered Nurse
  • Needham, MA
National Provider Identifier
1447397146
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
149569 Issued in MA
Practice address
992 Great Plain Ave
Suite 21
Needham, MA 02492-2561
Phone
(781) 455-6223
Fax
(781) 444-0905
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 149569 MA Primary

Addresses

Primary practice location

992 Great Plain Ave
Suite 21
Needham, MA 02492-2561

Mailing address

992 Great Plain Ave
Suite 21
Needham, MA 02492-2561
Phone (781) 455-6223

Other identifiers 2

IdentifierTypeStateIssuer
PN0207OtherMABCBS
401361OtherMATUFTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050803000255 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 0244268910 Practice locations: Brewster, MA

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Brewster, MA 02631
Phone (781) 910-4653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
149569MAMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1447397146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 GREAT PLAIN AVE",
            "address_2": "SUITE 21",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922561",
            "telephone_number": "781-455-6223",
            "fax_number": "781-444-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 GREAT PLAIN AVE",
            "address_2": "SUITE 21",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922561",
            "telephone_number": "781-455-6223",
            "fax_number": "781-444-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "RN,MS,CS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "149569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PN0207",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "401361",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

Verify at the official NPI Registry.