Mary Christine Smith, CNS

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

NS-02686 Issued in OH

Practice address

960 Clague Rd
Suite #2470
Westlake, OH 44145-1582

Phone

(440) 250-2450

Fax

(440) 250-2451

NPI assigned

May 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1871751701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "3RD FLOOR",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "440-250-2450",
            "fax_number": "440-250-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 CLAGUE RD",
            "address_2": "SUITE #2470",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451582",
            "telephone_number": "440-250-2450",
            "fax_number": "440-250-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "OH",
            "license": "NS-02686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2865350",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alec M Smith, LPC
• Duret Stanford Smith, M.D.
• Julie Smith, OTR/L
• Karen Weller Smith, M.A., CCC-A
• Lauren Smith
• Samantha Smith
• Halle Smolinski, APRN
• Morgan Leigh Snider
• Lindsay Marie Snyder, MOT, OTR/L
• Samantha Snyder, RBT

• Pediatric Clinical Nurse Specialist in Westlake, OH
• Providers in Westlake, OH by specialty
• Pediatric Clinical Nurse Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.