Mary Ellen Smith, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.437947 Issued in OH

Practice address

103 2ND Ave
Chesapeake, OH 45619-1134

Phone

(740) 451-1551

NPI assigned

Oct 17, 2019

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/bethesdaservicesllc/r4/

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.

• Bethesda Services LLC

  • Addiction (Substance Use Disorder) Counselor
  • Ironton, OH
  • NPI 1992392005
  NPD Authorized official
• Bethesda Services LLC

  • Community/Behavioral Health Agency
  • Ironton, OH
  • NPI 1790586444
  NPD

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1720620115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 2ND AVE",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456191134",
            "telephone_number": "740-451-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 2ND AVE",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456191134",
            "telephone_number": "740-451-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.437947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina R Sherrod, APRN
• Maressa Short
• Phillip E Sims, CDCA
• Kandice M. Singer
• Beth Sloane, MSW,LISW
• Misty A Smith, CDCA
• Jessica Snively
• Molly E Snowden, BSW/LSW
• Southern Hope Recovery Center LLC
• Tiffany Ann Spears

• Registered Nurse in Chesapeake, OH
• Providers in Chesapeake, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.