Individual provider Active NPI

Blenda E Smith, FNP,PHD

  • Family Nurse Practitioner
  • Binghamton, NY
National Provider Identifier
1871737783
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
330836 Issued in NY
Practice address
225 Front St
Binghamton, NY 13905-2424
Phone
(607) 778-2839
Fax
(607) 778-2873
NPI assigned
Apr 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 330836 NY Primary

Addresses

Primary practice location

225 Front St
Binghamton, NY 13905-2424

Mailing address

225 Front St
Binghamton, NY 13905-2424
Phone (607) 778-2839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150407001120 NY Practitioner - Nurse Practitioner 7810096633 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Broome County CurrentSince Jan 5, 2015 Accepting new patients
Broome County CurrentSince Jan 5, 2015 Accepting new patients

Locations

225 Front St
Binghamton, NY 13905
Phone (607) 778-2840

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wesley VillagePittston, PA, CCN 395602 Skilled nursing facility Corporate Director Nov 19, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1871737783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 FRONT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052424",
            "telephone_number": "607-778-2839",
            "fax_number": "607-778-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 FRONT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052424",
            "telephone_number": "607-778-2839",
            "fax_number": "607-778-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BLENDA",
        "middle_name": "E",
        "credential": "FNP,PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "330836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.