Individual provider Active NPI

Janis G Smith, APRN

  • Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1538202379
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
002273 Issued in CT
Practice address
1 Hospital Plaza
Bennett Cancer Center
Stamford, CT 06904-9317
Phone
(203) 276-2695
Fax
(203) 975-7842
NPI assigned
Feb 14, 2007
Last updated
Jun 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 002273 CT Primary

Addresses

Primary practice location

1 Hospital Plaza
Bennett Cancer Center
Stamford, CT 06904-9317

Mailing address

1 Hospital Plaza
Stamford, CT 06904-9317
Phone (203) 276-2695

Other identifiers 1

IdentifierTypeStateIssuer
004000360MedicaidCT

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

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1538202379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL PLAZA",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069049317",
            "telephone_number": "203-276-2695",
            "fax_number": "203-975-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL PLAZA",
            "address_2": "BENNETT CANCER CENTER",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069049317",
            "telephone_number": "203-276-2695",
            "fax_number": "203-975-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JANIS",
        "middle_name": "G",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "002273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004000360",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.