Individual provider Active NPI

Yvonne Harris Smith, DNP, PMHNP-BC, RN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Granite Falls, NC
National Provider Identifier
1609452234
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2020131422 Issued in NC
Practice address
106 Cypress LN
Granite Falls, NC 28630-1440
Phone
(828) 234-4729
NPI assigned
Mar 23, 2021
Last updated
Jun 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5014378 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2020131422 NC Primary

Addresses

Primary practice location

106 Cypress LN
Granite Falls, NC 28630-1440

Mailing address

106 Cypress LN
Granite Falls, NC 28630-1440
Phone (828) 234-4729

Other practice location 1

207 Queen St
Morganton, NC 28655-3341
Phone (828) 439-8191 ext. 8320

Other identifiers 1

IdentifierTypeStateIssuer
5014378MedicaidNC

Other names 1

  • Dr. Yvonne Harris Smith Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Other Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240417001451 NC Practitioner - Nurse Practitioner 9739528258 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2020131422NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital Inc. Multi-Specialty CurrentSince Mar 4, 2024 Accepting new patients
Caldwell Memorial Hospital, Inc Multi-Specialty Current Accepting new patients
Caldwell Memorial Hospital, Inc. Multi-Specialty CurrentSince Mar 4, 2024 Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

401 Mulberry St SW
Ste 102
Lenoir, NC 28645
Phone (828) 757-6434

407 Mulberry St SW
Lenoir, NC 28645
Phone (828) 394-6720

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

Interoperability endpoints

  • Direct secure messaging: ysmith784571@direct.unc.nchie.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1609452234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CYPRESS LN",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286301440",
            "telephone_number": "828-234-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CYPRESS LN",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286301440",
            "telephone_number": "828-234-4729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 Queen St",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286553341",
            "country_code": "US",
            "telephone_number": "828-439-8191 x8320",
            "fax_number": "828-439-2588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "YVONNE",
        "middle_name": "HARRIS",
        "name_prefix": "Ms.",
        "credential": "DNP, PMHNP-BC, RN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5014378",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "2020131422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5014378",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "207 Queen St",
            "city": "Morganton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286553341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "YVONNE",
            "last_name": "SMITH",
            "middle_name": "HARRIS",
            "prefix": "DR.",
            "credential": "DNP, PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Granite Falls, NC

Sources for this page

Verify at the official NPI Registry.