Active NPI
Lacie Jo Smith, APRN-CNP
- Family Nurse Practitioner
- Portsmouth, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.025886
- Practice address
- 1805 27TH St
Portsmouth, OH 45662-2640 - Phone
- (740) 356-5000
- NPI assigned
- Jan 27, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.025886 | OH | Primary |
Addresses
Primary practice location
1805 27TH St
Portsmouth, OH 45662-2640
Mailing address
67 Frank Puckett Rd
Oak Hill, OH 45656-9780
Phone (740) 418-0632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1711 27TH St
Suite 306
Portsmouth, OH 45662-2669
315 9TH St
New Brighton, PA 15066-1927
502 Cathey LN
Lucasville, OH 45648-8768
67 Frank Fuckett Rd
Oak Hill, OH 45656-9780
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.025886 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawnee Mental Health Center, Inc. | Current | Accepting new patients | |
| Community Action Committee of Pike County | Current | Accepting new patients | |
| Community Action Committee of Pike County | Current | Accepting new patients | |
| Community Action Committee of Pike County | Current | Accepting new patients | |
| Shawnee Mental Health Center, Inc. | Current | Accepting new patients | |
| Shawnee Mental Health Center Inc | Current | Accepting new patients | |
| Community Action Committee of Pike County | Past | Accepting new patients | |
| Shawnee Mental Health Center, Inc. | Past | Accepting new patients | |
| Shawnee Mental Health Center, Inc. | Past | Accepting new patients | |
| Community Action Committee of Pike County | Past | Accepting new patients | |
| Shawnee Mental Health Center, Inc. | Past | Accepting new patients |
Locations
225 Carlton Davidson Ln
Coal Grove, OH 45638
Phone (740) 354-7702
14590 State Route 93
Jackson, OH 45640
Phone (740) 286-2826
941 Market St
Piketon, OH 45661
Phone (740) 289-2371
901 Washington St
Portsmouth, OH 45662
Phone (740) 354-7702
192 Chestnut Ridge Rd
West Union, OH 45693
Phone (937) 544-5581
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- lacie.smith.p1@direct.shawneemhc.nextgenshare.com
Organizations & group practices 11
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.
-
- Primary Care Clinic/Center
- Waverly, OH
- NPI 1760659171
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portsmouth, OH
- NPI 1336173236
-
- Primary Care Clinic/Center
- Jackson, OH
- NPI 1114194347
-
- Federally Qualified Health Center (FQHC)
- Piketon, OH
- NPI 1205644614
-
- Multi-Specialty Clinic/Center
- Portsmouth, OH
- NPI 1184980625
-
- Community/Retail Pharmacy
- Portsmouth, OH
- NPI 1992524045
-
- Federally Qualified Health Center (FQHC)
- West Portsmouth, OH
- NPI 1003908930
-
- Federally Qualified Health Center (FQHC)
- Jackson, OH
- NPI 1023100955
-
- Federally Qualified Health Center (FQHC)
- Portsmouth, OH
- NPI 1063982924
-
- Clinic/Center
- Portsmouth, OH
- NPI 1730682733
-
- Federally Qualified Health Center (FQHC)
- West Union, OH
- NPI 1750851622
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chillicothe, OH
- NPI 1902839673
-
- Rural Acute Care Hospital
- Gallipolis, OH
- NPI 1942256888
-
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1417227398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1720619059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 FRANK PUCKETT RD",
"city": "OAK HILL",
"state": "OH",
"postal_code": "456569780",
"telephone_number": "740-418-0632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 27TH ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622640",
"telephone_number": "740-356-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LACIE",
"middle_name": "JO",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-27",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.025886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.