Michelle R. Smart, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209011637 Issued in IL

Practice address

775 Engineering Ave
Springfield, IL 62703-5909

Phone

(217) 522-4300

Fax

(217) 522-7545

NPI assigned

Sep 9, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Smart Chiropractic, LLC

  • Health Service Clinic/Center
  • Hoopeston, IL
  • NPI 1447685524
  NPD (past)

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1891196838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032403",
            "telephone_number": "217-528-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 ENGINEERING AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035909",
            "telephone_number": "217-522-4300",
            "fax_number": "217-522-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMART",
        "first_name": "MICHELLE",
        "middle_name": "R.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Renee Small
• Elizabeth A Small, MD
• Smalltown Dental Springfield West PLLC
• Smart Transportation
• Gregory W Smart, D.C.
• Smiling Stars Therapy LLC
• Amy Katherine Smith-Harris, L.C.P.C., A.T.R.
• Sandra Smith-Lex, CRNA
• Alexandra Bacon Smith, DMD
• Alissa Danielle Smith, NP

• Family Nurse Practitioner in Springfield, IL
• Providers in Springfield, 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 Jan 28, 2016; 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.