Bhanuben Patel Smith, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5014278 Issued in NC

Practice address

1075 E Hudson Blvd
Gastonia, NC 28054-1694

Phone

(704) 864-8749

NPI assigned

Mar 28, 2021

Last updated

Apr 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1616889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1598342149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 E HUDSON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541694",
            "telephone_number": "704-864-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 E HUDSON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541694",
            "telephone_number": "704-864-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BHANUBEN",
        "middle_name": "PATEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-28",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24740",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laleita Nicole Small, P024233
• Maria D Smalls, LCMHCA
• Terri Smalls, LCSW
• Amanda Lauren Smith, OD
• Beverlyn Ann Smith, MSW
• Brittany Smith, RBT
• Cecilia Smith, LCMHC
• Cecily Robin Smith, NP
• Coltedra SH'Nee Smith, FNP-BC
• Courtney Renee Smith, OT

• Family Nurse Practitioner in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.