Monica Yvette Smith, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.018861 Issued in IL

Practice address

22426 York CT Apt 4F
Richton Park, IL 60471-2137

Phone

(708) 833-9259

NPI assigned

Mar 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1861087082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22426 YORK CT APT 4F",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604712137",
            "telephone_number": "708-833-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22426 YORK CT APT 4F",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604712137",
            "telephone_number": "708-833-9259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22426 York Ct Apt 4F",
            "address_purpose": "LOCATION",
            "city": "Richton Park",
            "state": "IL",
            "postal_code": "604712137",
            "country_code": "US",
            "telephone_number": "708-833-9259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MONICA",
        "middle_name": "YVETTE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704371594",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.018861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robert B Smith, D.D.S.
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• Family Nurse Practitioner in Richton Park, IL
• Providers in Richton Park, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.