Individual provider Active NPI

Robin Elizabeth Smith, NP-C, RN, MSN

  • Family Nurse Practitioner
  • Terre Haute, IN
National Provider Identifier
1477975290
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18575A Issued in SC
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

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250430000630 OH Practitioner - Nurse Practitioner 8820310899 Reassigns benefits to 1 organization

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
Compassion Health ToledoGroup PAC ID 5496028946, 7 clinicians

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 Hospital, Toledo, OH, CCN 360068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221666SCMDRegistered Nurse
18575SCMDSurgery Physician
18575ASCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion Health Toledo CurrentSince Feb 10, 2025 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.