Individual provider Active NPI

Joanne Charolette Smiley, NP

  • Family Nurse Practitioner
  • Colorado City, CO
National Provider Identifier
1649227901
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
79293 Issued in CO
Practice address
4491 Bent Bros Blvd
Colorado City, CO 81019
Phone
(719) 676-2273
NPI assigned
May 30, 2006
Last updated
Mar 26, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 79293 CO Primary

Addresses

Primary practice location

4491 Bent Bros Blvd
Colorado City, CO 81019

Mailing address

4491 Bent Bros Blvd
Colorado City, CO 81019
Phone (719) 676-2273

Other identifiers 1

IdentifierTypeStateIssuer
10287035MedicaidCO

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Neuropsychiatric Associates, P.C. CurrentSince Jul 17, 2022 Accepting new patients
Inpatient Consultants of Colorado, PC Past Accepting new patients
Total Life Care, LLC Past Accepting new patients
Hospitalists of Pueblo Past Accepting new patients

Locations

6160 Tutt Blvd
Ste 100
Colorado Springs, CO 80923
Phone (719) 444-8484

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.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1649227901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4491 BENT BROS BLVD",
            "city": "COLORADO CITY",
            "state": "CO",
            "postal_code": "81019",
            "telephone_number": "719-676-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4491 BENT BROS BLVD",
            "city": "COLORADO CITY",
            "state": "CO",
            "postal_code": "81019",
            "telephone_number": "719-676-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILEY",
        "first_name": "JOANNE",
        "middle_name": "CHAROLETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "79293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10287035",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.