Individual provider Active NPI

Nancy McGeough Smith, REGISTERED NURSE

  • School Registered Nurse
  • Port Jervis, NY
National Provider Identifier
1770999484
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
293734-1 Issued in NY
Practice address
109 Lakewood Dr
Port Jervis, NY 12771-5237
Phone
(845) 856-7442
NPI assigned
Jul 2, 2014
Last updated
Jan 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 293734-1 NY Primary

Addresses

Primary practice location

109 Lakewood Dr
Port Jervis, NY 12771-5237

Mailing address

109 Lakewood Dr
Port Jervis, NY 12771-5237
Phone (845) 856-7442

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
293734-1NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1770999484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 LAKEWOOD DR",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127715237",
            "telephone_number": "845-856-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 LAKEWOOD DR",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127715237",
            "telephone_number": "845-856-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEOUGH SMITH",
        "first_name": "NANCY",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "293734-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jervis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.