Active NPI
Heather Marie Smith, NP
- Family Nurse Practitioner
- Chantilly, VA
National Provider Identifier
1558738716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA18019-NP
- Practice address
- 14121 Parke Long CT
Suite 201
Chantilly, VA 20151-1647 - Phone
- (724) 504-0689
- NPI assigned
- Aug 24, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA18019-NP | OH | Primary |
Addresses
Primary practice location
14121 Parke Long CT
Suite 201
Chantilly, VA 20151-1647
Mailing address
14121 Parke Long CT
Suite 201
Chantilly, VA 20151-1647
Phone (724) 504-0689
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA18019-NP | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1558738716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14121 PARKE LONG CT",
"address_2": "SUITE 201",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201511647",
"telephone_number": "724-504-0689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14121 PARKE LONG CT",
"address_2": "SUITE 201",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201511647",
"telephone_number": "724-504-0689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "HEATHER",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA18019-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chantilly, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.