Individual provider Active NPI

Matthew P Smith, CNP

  • Nurse Practitioner
  • Akron, OH
National Provider Identifier
1811515521
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.026353 Issued in OH
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN.400163OHMDRegistered Nurse
APRN.CNP.026353OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pastoral Counseling Service of Summit Co Inc CurrentSince Oct 2, 2022 Accepting new patients
Pastoral Counseling Service of Summit County PastSince Oct 2, 2022 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.

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.

Verify at the official NPI Registry.