Active NPI
Joan Kathleen Smyth, MSN RN
- Adult Psychiatric/Mental Health Registered Nurse
- Everett, MA
National Provider Identifier
1477614675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 105254
- Practice address
- 173 Chelsea St
Lower Level
Everett, MA 02149 - Phone
- (781) 388-6244
- Fax
- (781) 388-6240
- NPI assigned
- Dec 12, 2006
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 105254 | MA | Primary |
Addresses
Primary practice location
173 Chelsea St
Lower Level
Everett, MA 02149
Mailing address
173 Chelsea St
Lower Level
Everett, MA 02149
Phone (781) 388-6244
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105254 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477614675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 CHELSEA ST",
"address_2": "LOWER LEVEL",
"city": "EVERETT",
"state": "MA",
"postal_code": "02149",
"telephone_number": "781-388-6244",
"fax_number": "781-388-6240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 CHELSEA ST",
"address_2": "LOWER LEVEL",
"city": "EVERETT",
"state": "MA",
"postal_code": "02149",
"telephone_number": "781-388-6244",
"fax_number": "781-388-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMYTH",
"first_name": "JOAN",
"middle_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "MSN RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "MA",
"license": "105254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.