Active NPI
Cheryl L Smith, R.N., F.N.P.
- Nurse Practitioner
- Delta, CO
National Provider Identifier
1740247352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 98432
- Practice address
- 555 Meeker St
Delta, CO 81416-1920 - Phone
- (970) 874-5777
- Fax
- (970) 874-1631
- NPI assigned
- Apr 27, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 98432 | CO | Primary |
Addresses
Primary practice location
555 Meeker St
Delta, CO 81416-1920
Mailing address
555 Meeker St
Delta, CO 81416-1920
Phone (970) 874-5777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07984321 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192752000000",
"number": "1740247352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 MEEKER ST",
"city": "DELTA",
"state": "CO",
"postal_code": "814161920",
"telephone_number": "970-874-5777",
"fax_number": "970-874-1631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 MEEKER ST",
"city": "DELTA",
"state": "CO",
"postal_code": "814161920",
"telephone_number": "970-874-5777",
"fax_number": "970-874-1631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CHERYL",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "R.N., F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2007-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "98432",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07984321",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Delta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.