Active NPI
Shari Smith, RN
- Registered Nurse
- Suffern, NY
National Provider Identifier
1649718255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 645574
- Practice address
- 15 Suffern Place
Ste a
Suffern, NY 10901 - Phone
- (845) 357-4500
- Fax
- (845) 357-5039
- NPI assigned
- Feb 2, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 645574 | NY | Primary |
Addresses
Primary practice location
15 Suffern Place
Ste a
Suffern, NY 10901
Mailing address
15 Suffern Place
Ste a
Suffern, NY 10901
Phone (845) 357-4500
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 645574 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J&D Ultracare Corp | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Suffern, NY
- NPI 1659442051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485993600000",
"number": "1649718255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SUFFERN PLACE",
"address_2": "STE A",
"city": "SUFFERN",
"state": "NY",
"postal_code": "10901",
"telephone_number": "845-357-4500",
"fax_number": "845-357-5039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 SUFFERN PLACE",
"address_2": "STE A",
"city": "SUFFERN",
"state": "NY",
"postal_code": "10901",
"telephone_number": "845-357-4500",
"fax_number": "845-357-5039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SHARI",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-02",
"last_updated": "2017-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "645574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.