Individual provider Active NPI

Andrea Leigh Smithheart

  • Administrator Registered Nurse
  • Greensboro, NC
National Provider Identifier
1740074970
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
302692 Issued in NC
Practice address
822 Larkwood Dr
Greensboro, NC 27410-3447
Phone
(512) 922-6071
NPI assigned
Apr 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 302692 NC Primary

Addresses

Primary practice location

822 Larkwood Dr
Greensboro, NC 27410-3447

Mailing address

822 Larkwood Dr
Greensboro, NC 27410-3447
Phone (512) 922-6071

Other practice location 1

9 Farm Springs Rd
Farmington, CT 06032-2576
Phone (512) 922-6071

Other names 1

  • Andrea Leigh Holder Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
302692NCMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1740074970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 LARKWOOD DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103447",
            "telephone_number": "512-922-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 LARKWOOD DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103447",
            "telephone_number": "512-922-6071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Farm Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060322576",
            "country_code": "US",
            "telephone_number": "512-922-6071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITHHEART",
        "first_name": "ANDREA",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NC",
            "license": "302692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "HOLDER",
            "middle_name": "LEIGH",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.