Elizabeth R. D. Smith, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

295021116 Issued in WY

Practice address

204 McCollum St Ste 203
Laramie, WY 82070-5127

Phone

(307) 314-4242

Fax

(307) 460-3331

NPI assigned

Jan 25, 2007

Last updated

Jul 13, 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 1

Addresses

Other names 1

• Elizabeth Rogal Deprince-Smith Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: esmith200383@direct.childrenscolorado.org

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.

• Meadowlark Pediatrics, LLC

  • Pediatrics Physician
  • Laramie, WY
  • NPI 1497339956
  NPD Authorized official
• Meadowlark Pediatrics, LLC

  • Pediatrics Physician
  • Saratoga, WY
  • NPI 1194397851
  NPD
• Children's Hospital Colorado

  • Clinical Social Worker
  • Aurora, CO
  • NPI 1174282776
  NPD
• Empower Counseling LLC

  • Clinical Social Worker
  • Fargo, ND
  • NPI 1861955296
  NPD

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1609921824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MCCOLLUM ST STE 203",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705127",
            "telephone_number": "307-314-4242",
            "fax_number": "307-460-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MCCOLLUM ST STE 203",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705127",
            "telephone_number": "307-314-4242",
            "fax_number": "307-460-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "R. D.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WY",
            "license": "295021116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DEPRINCE-SMITH",
            "middle_name": "ROGAL",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marlis Slater
• Jamie Sue Smiertelny
• Abbie Smith
• Amy Diane Smith, NP
• Debora D Smith
• Jessica Smith
• Johanna Smith
• Kaylie Smith
• Laura Smith
• Lydia Smith

• Pediatric Nurse Practitioner in Laramie, WY
• Providers in Laramie, WY by specialty
• Pediatric Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.