Individual provider Active NPI

Anna Smelewski, LPN

  • Licensed Practical Nurse
  • Rocky Point, NY
National Provider Identifier
1629413711
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
311384-1 Issued in NY
Practice address
72 Brookhaven Dr
Rocky Point, NY 11778-9358
Phone
(631) 384-4878
NPI assigned
May 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 311384-1 NY Primary

Addresses

Primary practice location

72 Brookhaven Dr
Rocky Point, NY 11778-9358

Mailing address

72 Brookhaven Dr
Rocky Point, NY 11778-9358
Phone (631) 384-4878

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
311384-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1629413711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 BROOKHAVEN DR",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117789358",
            "telephone_number": "631-384-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 BROOKHAVEN DR",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117789358",
            "telephone_number": "631-384-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMELEWSKI",
        "first_name": "ANNA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "311384-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.