Active NPI
Susan Darlene Smith, FNP-C
- Family Nurse Practitioner
- Oxford, MS
National Provider Identifier
1568907392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 901892
- Practice address
- 101 Ricky D Britt Sr Blvd
Suite 1 and 2
Oxford, MS 38655-9103 - Phone
- (662) 236-5442
- Fax
- (662) 236-5295
- NPI assigned
- Jan 3, 2017
- 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 | 901892 | MS | Primary |
Addresses
Primary practice location
101 Ricky D Britt Sr Blvd
Suite 1 and 2
Oxford, MS 38655-9103
Mailing address
101 Ricky D Britt Sr Blvd
Suite 1 and 2
Oxford, MS 38655-9103
Phone (662) 236-5442
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 |
|---|---|---|---|
| 901892 | MS | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1568907392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 RICKY D BRITT SR BLVD",
"address_2": "SUITE 1 AND 2",
"city": "OXFORD",
"state": "MS",
"postal_code": "386559103",
"telephone_number": "662-236-5442",
"fax_number": "662-236-5295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 RICKY D BRITT SR BLVD",
"address_2": "SUITE 1 AND 2",
"city": "OXFORD",
"state": "MS",
"postal_code": "386559103",
"telephone_number": "662-236-5442",
"fax_number": "662-236-5295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SUSAN",
"middle_name": "DARLENE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-03",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "901892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.