Individual provider Active NPI

Catherine Frances Smith, FNP-BC

  • Nurse Practitioner
  • Brookfield, IL
National Provider Identifier
1699007278
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209007924 Issued in IL
Practice address
4329 Arthur Ave
Brookfield, IL 60513-2307
Phone
(630) 209-0209
Fax
(888) 607-8001
NPI assigned
Feb 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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 209007924 IL Primary

Addresses

Primary practice location

4329 Arthur Ave
Brookfield, IL 60513-2307

Mailing address

4329 Arthur Ave
Brookfield, IL 60513-2307
Phone (630) 209-0209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Vascular and Vein Center LLC CurrentSince Dec 31, 2021 Accepting new patients

Locations

7350 W College Dr
Ste 103
Palos Heights, IL 60463
Phone (219) 208-6218

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.

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1699007278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4329 ARTHUR AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605132307",
            "telephone_number": "630-209-0209",
            "fax_number": "708-202-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4329 ARTHUR AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605132307",
            "telephone_number": "630-209-0209",
            "fax_number": "888-607-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CATHERINE",
        "middle_name": "FRANCES",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209007924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, IL

Sources for this page

Verify at the official NPI Registry.