Active NPI
Carole A Smith, LPN
- Licensed Practical Nurse
- Liverpool, NY
National Provider Identifier
1538304241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 242153
- Practice address
- 3865 Condor Cir
Liverpool, NY 13090-1008 - Phone
- (315) 622-0816
- NPI assigned
- Dec 9, 2008
- Last updated
- Dec 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 242153 | NY | Primary |
Addresses
Primary practice location
3865 Condor Cir
Liverpool, NY 13090-1008
Mailing address
3865 Condor Cir
Liverpool, NY 13090-1008
Phone (315) 622-0816
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242153 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228780800000",
"number": "1538304241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3865 CONDOR CIR",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130901008",
"telephone_number": "315-622-0816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3865 CONDOR CIR",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130901008",
"telephone_number": "315-622-0816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CAROLE",
"middle_name": "A",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-09",
"last_updated": "2008-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "242153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.