Colleen Marie Smyrniotis, APN

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

209002019 Issued in IL

Practice address

660 N Westmoreland Rd
Lake Forest, IL 60045-1659

Phone

(847) 535-6715

Fax

(847) 535-7880

NPI assigned

Jun 19, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1871932228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 N WESTMORELAND RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451659",
            "telephone_number": "847-535-6715",
            "fax_number": "847-535-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 N WESTMORELAND RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451659",
            "telephone_number": "847-535-6715",
            "fax_number": "847-535-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYRNIOTIS",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "IL",
            "license": "209002019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Smiley, PSY.D., ABCP
• Corrina Smith, MD
• Jack Oscar Reed Smith, PT, DPT
• Jeremy Smith
• Steven Daniel Smith, P.T.
• Kim R Sobinsky, M.D.
• Christine Marie Somberg, ACNS-BC
• Michael Jon Sommerfeld, MD
• Lillian Soong
• Craig Sopko, MD

• Clinical Nurse Specialist in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.