Active NPI
Robin Elizabeth Smith, NP-C, RN, MSN
- Family Nurse Practitioner
- Terre Haute, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18575A
- Practice address
- 4001 Wabash Ave
Terre Haute, IN 47803 - Phone
- (812) 238-7788
- NPI assigned
- Jan 14, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 221666 | SC | |
| Family Nurse Practitioner | 363LF0000X | 18575A | SC | Primary |
Addresses
Primary practice location
4001 Wabash Ave
Terre Haute, IN 47803
Mailing address
72 Hazelwood CT
Terre Haute, IN 47802-4973
Phone (567) 277-0287
Other practice location 1
200 Arbor Lake Dr
Suite 120
Columbia, SC 29223-4516
Phone (803) 457-8120
Other names 1
- Robin Elizabeth Radcliffe
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1055 Dorr St
Toledo, OH 43607-4007
Phone (567) 661-0565
1638 Broadway St
Toledo, OH 43609-3240
Phone (567) 661-0565
Hospital & facility affiliations
- Promedica Toledo Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221666 | SC | MD | Registered Nurse |
| 18575 | SC | MD | Surgery Physician |
| 18575A | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassion Health Toledo | Current | Accepting new patients | |
| Compassion Health Toledo | Current | Accepting new patients |
Locations
1638 Broadway St
Toledo, OH 43609
Phone (567) 661-0565
1055 Dorr St
Toledo, OH 43607
Phone (567) 661-0565
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1154872166
-
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1790567766
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529280000000",
"number": "1477975290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 HAZELWOOD CT",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024973",
"telephone_number": "567-277-0287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 WABASH AVE",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "47803",
"telephone_number": "812-238-7788"
}
],
"practiceLocations": [
{
"address_1": "200 Arbor Lake Dr",
"address_2": "Suite 120",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292234516",
"country_code": "US",
"telephone_number": "803-457-8120",
"fax_number": "803-457-8129",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "ROBIN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "NP-C, RN, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-14",
"last_updated": "2018-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "221666",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "18575A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBIN",
"last_name": "RADCLIFFE",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.