Active NPI
Nancy Kaye Smart, M.S., B.S.
- Audiologist
- Ellensburg, WA
National Provider Identifier
1811275571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD00002586
- Practice address
- 2201 W Dolarway Rd
Suite 2
Ellensburg, WA 98926-8228 - Phone
- (509) 952-5453
- Fax
- (509) 925-2474
- NPI assigned
- Jul 29, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | LD00002586 | WA | Primary |
| Audiologist | 231H00000X | 294849E | WA |
Addresses
Primary practice location
2201 W Dolarway Rd
Suite 2
Ellensburg, WA 98926-8228
Mailing address
2201 W Dolarway Rd
Suite 2
Ellensburg, WA 98926-8228
Phone (509) 952-5453
Other names 1
- Nancy Kaye Sundahl Smart
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
- Bachelor of Science, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294849E | WA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Vision Associates, LLP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Ellensburg, WA
- NPI 1710021944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311897600000",
"number": "1811275571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 W DOLARWAY RD",
"address_2": "SUITE 2",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989268228",
"telephone_number": "509-952-5453",
"fax_number": "509-925-2474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 W DOLARWAY RD",
"address_2": "SUITE 2",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989268228",
"telephone_number": "509-952-5453",
"fax_number": "509-925-2474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMART",
"first_name": "NANCY",
"middle_name": "KAYE",
"name_prefix": "Ms.",
"credential": "M.S., B.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-29",
"last_updated": "2011-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD00002586",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "294849E",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "SUNDAHL SMART",
"middle_name": "KAYE",
"credential": "M.S., B.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ellensburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.