Constance B. Smith, C.R.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

VP003662B Issued in PA

Practice address

33 Beaver Dr
Suite 1
Du Bois, PA 15801-2434

Phone

(814) 503-8070

Fax

(814) 503-8531

NPI assigned

Apr 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1720041734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BEAVER DR",
            "address_2": "SUITE 1",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012434",
            "telephone_number": "814-503-8070",
            "fax_number": "814-503-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BEAVER DR",
            "address_2": "SUITE 1",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012434",
            "telephone_number": "814-503-8070",
            "fax_number": "814-503-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CONSTANCE",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "VP003662B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary James Sloan, OD
• Grace Smakosz, PA-C
• Melissa Ann Smeltzer-Wolfe, LCSW
• Stacey E Smiley, CRNP
• Cody Alan Smith, PHARM.D.
• Gerald Michael Smith, D.O.
• Gina Maria Smith, B. S.
• James Allen Smith, PTA
• Julie Anna Smith, MA
• Kelley R Smith, DO

• Nurse Practitioner in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.