Gerald Lee Smith, CRNA

Primary specialty

SpecialistTaxonomy code 174400000X

License

0024053447 Issued in VA

Practice address

45 Pine Street
1St Medical Group
Langley Afb, VA 23665-2080

Phone

(757) 487-4733

Fax

(757) 487-4733

NPI assigned

Dec 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1851575393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PINE STREET",
            "address_2": "1ST MEDICAL GROUP",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "236652080",
            "telephone_number": "757-487-4733",
            "fax_number": "757-487-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PINE STREET",
            "address_2": "1ST MEDICAL GROUP",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "236652080",
            "telephone_number": "757-487-4733",
            "fax_number": "757-487-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GERALD",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0024053447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elsie Maria Schaszberger, RN
• Dana Schulz
• Geoffrey Sharpe, PA-C
• Frank Biddle Sherman Jr., D.D.S.
• Michael David Simmons, M.D.
• Ted Andrew Spiewak, D.O.
• Keiyata K Styerjames
• Charles S. Tedder II, MD, MPH
• Heather Mae Tellez, D.D.S.
• Thelma Diane Thomas, CNM

• Specialist in Langley Afb, VA
• Providers in Langley Afb, VA by specialty
• Specialist in Virginia

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

Verify at the official NPI Registry.