Active NPI
Matthew P Smith, CNP
- Nurse Practitioner
- Akron, OH
National Provider Identifier
1811515521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN.CNP.026353
- Practice address
- 611 W Market St
Akron, OH 44303-1411 - Phone
- (330) 996-4600
- Fax
- (330) 253-6606
- NPI assigned
- Jul 9, 2020
- Last updated
- Sep 27, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN.CNP.026353 | OH | Primary |
| Registered Nurse | 163W00000X | RN.400163 | OH |
Addresses
Primary practice location
611 W Market St
Akron, OH 44303-1411
Mailing address
611 W Market St
Akron, OH 44303-1411
Phone (330) 996-4600
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
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.400163 | OH | MD | Registered Nurse |
| APRN.CNP.026353 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pastoral Counseling Service of Summit Co Inc | Current | Accepting new patients | |
| Pastoral Counseling Service of Summit County | Past | Accepting new patients |
Locations
611 W Market St
Akron, OH 44303
Phone (330) 996-4600
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Akron, OH
- NPI 1073925624
-
- Community/Behavioral Health Agency
- Akron, OH
- NPI 1790819852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1811515521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W MARKET ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443031411",
"telephone_number": "330-996-4600",
"fax_number": "330-253-6606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W MARKET ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443031411",
"telephone_number": "330-996-4600",
"fax_number": "330-253-6606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MATTHEW",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-09",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.026353",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.400163",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.