Mary Page Smith, CNM, OB-GYN NP

Primary specialty

Perinatal Nurse PractitionerTaxonomy code 363LP1700X

License

100795 Issued in CO

Practice address

30772 Southview Dr. Ste 120
Evergreen, CO 80439

Phone

(303) 670-3931

NPI assigned

Jul 12, 2006

Last updated

Sep 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Obstetrix Medical Group of Colorado P C

  dba Pediatrix Obstetrix Medical Group of Colorado

  • Neonatal-Perinatal Medicine Physician
  • Denver, CO
  • NPI 1700983103
  Medicare reassignment NPD
• Obstetrix Medical Group of Colorado P C

  dba Rocky Mountain Pediatric Cardiology

  • Pediatric Cardiology Physician
  • Denver, CO
  • NPI 1497779276
  NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1871518803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30772 SOUTHVIEW DR. STE 120",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "80439",
            "telephone_number": "303-670-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30772 SOUTHVIEW DR. STE 120",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "80439",
            "telephone_number": "303-670-3931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 N High St",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802055503",
            "country_code": "US",
            "telephone_number": "303-860-9990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY",
        "middle_name": "PAGE",
        "credential": "CNM, OB-GYN NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "100795",
            "primary": false
        },
        {
            "code": "363LP1700X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Perinatal",
            "state": "CO",
            "license": "100795",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "100795",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "100795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Smith
• Danae Lynn Smith, MS, CCC-SLP
• Jodie Dean Smith, LPC-C
• Katie Marie Smith, PA-C
• Lisa Fudge Smith, LAC
• Susan Diane Smith, PT, NCMT
• Ashley N. Snider
• Snowshoe Trail Enterprises, LLC (Migun Evergreen)
• William John Somerset, DO
• Jeffrey S Sorensen, MD

• Nurse Practitioner in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.

Verify at the official NPI Registry.