Robin L. Smiddy, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Terre Haute, IN
NPI 1659932465 · NPPES record last updated Jul 30, 2021
Key facts
- NPI
- 1659932465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F06191147 (IN)
- Practice address
- 1513 N 6TH 1/2 St
Terre Haute, IN 47807-1039 - Phone
- (812) 242-3125
- Fax
- (812) 242-3446
- NPI assigned
- Jun 23, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital and Medical Foundation of Paris Inc
Practice addresses (Care Compare)
1378 S State Rd
46 Horizon Health
Terre Haute, IN 47803-9787
Phone (812) 877-3310
Hospital & facility affiliations
- Union Hospital Inc
- Paris Community Hospital
- Crawford Memorial Hospital
- Union Hospital Clinton
- Ascension St Vincent Clay
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191231000489 | IN | Practitioner - Nurse Practitioner | 2163856022 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F06191147 | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Center, Inc. | Current |
Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Current |
Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Current |
Accepting new patients | |
| Hamilton Center Inc. | Current |
Accepting new patients |
Locations
3736 S 4th St
Terre Haute, IN 47802
Phone (765) 832-1511
620 8th Ave
Terre Haute, IN 47804
Phone (812) 231-8200
1378 S State Road 46
Ste B
Terre Haute, IN 47803
Phone 8128773001 ext. 07938
1378 S State Road 46
Terre Haute, IN 47803
Phone (812) 877-3310
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
1378 S State Road 46
Ste A
Terre Haute, IN 47803
Phone (812) 877-3310
Interoperability endpoints
- robin.smiddy.1@11356.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F06191147 | IN | Yes |
Addresses
Primary practice location
1513 N 6TH 1/2 St
Terre Haute, IN 47807-1039
Mailing address
1461 Patriot LN
Terre Haute, IN 47802-7709
Phone (812) 239-2854
Other practice location 1
221 S 6th St
Terre Haute, IN 47807-4214
Phone (812) 232-0564
Other practice location 2
620 8th Ave
Terre Haute, IN 47804-2744
Phone (812) 231-8323
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rsmiddy@hamiltoncenter.org |
NPI Registry JSON
{
"created_epoch": "1561248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627603200000",
"number": "1659932465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1461 PATRIOT LN",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478027709",
"telephone_number": "812-239-2854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 N 6TH 1/2 ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478071039",
"telephone_number": "812-242-3125",
"fax_number": "812-242-3446"
}
],
"practiceLocations": [
{
"address_1": "221 S 6th St",
"address_purpose": "LOCATION",
"city": "Terre Haute",
"state": "IN",
"postal_code": "478074214",
"country_code": "US",
"telephone_number": "812-232-0564",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "620 8th Ave",
"address_purpose": "LOCATION",
"city": "Terre Haute",
"state": "IN",
"postal_code": "478042744",
"country_code": "US",
"telephone_number": "812-231-8323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMIDDY",
"first_name": "ROBIN",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-23",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "F06191147",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rsmiddy@hamiltoncenter.org",
"affiliation": "N",
"address_1": "620 8th Ave",
"city": "Terre Haute",
"state": "IN",
"country_code": "US",
"postal_code": "478042744",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
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All providers in Terre Haute, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.