Active NPI
Taylor Smith, MS, LCGC
- Genetic Counselor (M.S.)
- Newburgh, IN
National Provider Identifier
1558036251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- 74000447A
- Practice address
- 100 St. Mary'S Epworth Crossing
Suite A602
Newburgh, IN 47630 - Phone
- (812) 469-8175
- NPI assigned
- Aug 13, 2021
- 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 |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | |||
| Genetic Counselor (M.S.) | 170300000X | 74000447A | IN | Primary |
Addresses
Primary practice location
100 St. Mary'S Epworth Crossing
Suite A602
Newburgh, IN 47630
Mailing address
100 St. Mary'S Epworth Crossing
Suite A602
Newburgh, IN 47630
Phone (812) 469-8175
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74000447A | IN | MD | Genetic Counselor (M.S.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Health, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1497706287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1558036251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ST. MARY'S EPWORTH CROSSING",
"address_2": "SUITE A602",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "47630",
"telephone_number": "812-469-8175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ST. MARY'S EPWORTH CROSSING",
"address_2": "SUITE A602",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "47630",
"telephone_number": "812-469-8175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TAYLOR",
"credential": "MS, LCGC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-13",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": null,
"license": null,
"primary": false
},
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "IN",
"license": "74000447A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.