Individual provider Active NPI

Dewan Elizabeth Smith-Murray, BSN, RN, MSN,PMHAPRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairlawn, OH
National Provider Identifier
1851831556
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.022060 Issued in OH
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

Updated by the provider on May 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
RN250602OHMDPsychiatric/Mental Health Registered Nurse
018683OHMDMental Health Clinic/Center (Including Community Mental Health Center)
APRN.CNP.022060OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.