Coreen S Smith, CNP, MS

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

CNP 1337 Issued in MN

Practice address

2603 White Bear Ave N
Maplewood, MN 55109-5110

Phone

(651) 600-3035

Fax

(651) 348-8783

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: coreen.smith@mwc.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/FAHCDA

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.

• Comprehensive Healthcare for Women, PA

  • Obstetrics & Gynecology Physician
  • Woodbury, MN
  • NPI 1841235595
  NPD
• Minnesota Women'S Care, P.a.

  • Obstetrics & Gynecology Physician
  • Maplwood, MN
  • NPI 1518221779
  NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1548353469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 WHITE BEAR AVE N",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095110",
            "telephone_number": "651-600-3035",
            "fax_number": "651-348-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 WHITE BEAR AVE N",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095110",
            "telephone_number": "651-600-3035",
            "fax_number": "651-348-8783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "991 Sibley Memorial Hwy",
            "address_2": "Suite100",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551185113",
            "country_code": "US",
            "telephone_number": "651-379-3110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1687 Woodlane Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551253046",
            "country_code": "US",
            "telephone_number": "651-209-8141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COREEN",
        "middle_name": "S",
        "credential": "CNP, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "CNP 1337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara A. Slotsve, RN,MS,ACNP
• Smart Choice Transpotation
• Gail Marie Smida, P.T.
• Smiles in Motion of Minnesota PC
• Aynsley D Smith, CNP
• Elizabeth Anne Smith, MD
• Megan Kristine Smith
• Stephanie Ernesta Smith, PA-C
• April Marie Snyder, D.D.S.
• James R Snyder, PA

• Women's Health Nurse Practitioner in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Women's Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.

Verify at the official NPI Registry.