Active NPI
Dewan Elizabeth Smith-Murray, BSN, RN, MSN,PMHAPRN
- Psychiatric/Mental Health Nurse Practitioner
- Fairlawn, OH
National Provider Identifier
1851831556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN.CNP.022060
- Practice address
- 3094 W Market St Ste 190
Fairlawn, OH 44333-3626 - Phone
- (330) 595-9929
- NPI assigned
- Feb 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.022060 | OH | Primary |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN250602 | OH | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 018683 | OH |
Addresses
Primary practice location
3094 W Market St Ste 190
Fairlawn, OH 44333-3626
Mailing address
575 Woodview Dr
Akron, OH 44319-1343
Phone (330) 595-9929
Other practice location 1
12395 McCracken Rd
Garfield Hts, OH 44125-2967
Phone (216) 587-6727 ext. 3510
Other names 1
- Dewan Elizabeth Smith-Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171207000525 | OH | Practitioner - Nurse Practitioner | 1153688734 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN250602 | OH | MD | Psychiatric/Mental Health Registered Nurse |
| 018683 | OH | MD | Mental Health Clinic/Center (Including Community Mental Health Center) |
| APRN.CNP.022060 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lajean'S Mental Health Boutique, LLC | Psychiatric/Mental Health | Past | Accepting new patients |
| Kelli Anne Chamberlain | Psychiatric/Mental Health | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychiatric/Mental Health Registered Nurse
- Garfield HTS, OH
- NPI 1013418458
-
- Psychiatric/Mental Health Nurse Practitioner
- Bedford, OH
- NPI 1326708736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1851831556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 WOODVIEW DR",
"city": "AKRON",
"state": "OH",
"postal_code": "443191343",
"telephone_number": "330-595-9929",
"fax_number": "845-859-8649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3094 W MARKET ST STE 190",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333626",
"telephone_number": "330-595-9929"
}
],
"practiceLocations": [
{
"address_1": "12395 McCracken Rd",
"address_purpose": "LOCATION",
"city": "Garfield Hts",
"state": "OH",
"postal_code": "441252967",
"country_code": "US",
"telephone_number": "216-587-6727 x3510",
"fax_number": "216-587-8347",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH-MURRAY",
"first_name": "DEWAN",
"middle_name": "ELIZABETH",
"credential": "BSN, RN, MSN,PMHAPRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-28",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "APRN.CNP.022060",
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "OH",
"license": "RN250602",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "OH",
"license": "018683",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEWAN",
"last_name": "SMITH-WILLIAMS",
"middle_name": "ELIZABETH",
"credential": "SAME AS ABOVE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.