Individual provider Active NPI

Caitlin Elizabeth Smith, N.P.

  • Nurse Practitioner
  • Niagara Falls, NY
National Provider Identifier
1629525167
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F307905-1 Issued in NY
Practice address
1 Colomba Dr Ste 2
Niagara Falls, NY 14305-1275
Phone
(716) 501-5501
Fax
(716) 215-6400
NPI assigned
Sep 1, 2016
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F307905-1 NY Primary

Addresses

Primary practice location

1 Colomba Dr Ste 2
Niagara Falls, NY 14305-1275

Mailing address

1 Colomba Dr Ste 2
Niagara Falls, NY 14305-1275
Phone (716) 501-5501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170106000221 NY Practitioner - Nurse Practitioner 8628359627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yjh Medical PCGroup PAC ID 2961721121, 3 clinicians

Practice addresses (Care Compare)

1 Colomba Dr
Suite 2
Niagara Falls, NY 14305-1275
Phone (716) 501-5501

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307905NYMDLicensed Practical Nurse
F307905-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tmo Medical, PC CurrentSince Oct 1, 2020 Accepting new patients
Yjh Medical PC CurrentSince May 1, 2019 Accepting new patients
Ub Family Medicine, Inc Current Accepting new patients
University Emergency Medical Services Inc. CurrentSince Nov 1, 2016 Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

1 Colomba Dr
Ste 2
Niagara Falls, NY 14305
Phone (716) 285-3464

4515 Military Rd
Niagara Falls, NY 14305
Phone (716) 236-7880

Interoperability endpoints

  • Direct secure messaging: caitlinsmithnp@yjhmedicalpc.medentdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1629525167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLOMBA DR STE 2",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051275",
            "telephone_number": "716-501-5501",
            "fax_number": "716-229-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLOMBA DR STE 2",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051275",
            "telephone_number": "716-501-5501",
            "fax_number": "716-215-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAITLIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F307905-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.