Theresa Sharp Smigo, MSN, CRNP, CNS, RN-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

TP006435C Issued in PA

Practice address

210 N 9TH St
Phila, PA 19107-1813

Phone

(267) 337-1534

NPI assigned

Nov 6, 2007

Last updated

Mar 20, 2021By the provider in NPPES

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)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science - Nursing, Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: theresa.smigo.p5@direct.bhplannedparenthood.nextgenshare.com

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616198400000",
    "number": "1891975959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 AURA RD",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080283206",
            "telephone_number": "267-337-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N 9TH ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191071813",
            "telephone_number": "267-337-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIGO",
        "first_name": "THERESA",
        "middle_name": "SHARP",
        "name_prefix": "Mrs.",
        "credential": "MSN, CRNP, CNS, RN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2021-03-20",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "TP006435C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marta E Sivitz, MD
• Denise Yvonne Skinner, LPN
• Sky Medical Associates, P.C. (Gemedco Family Practice)
• Justine Marie Sliwka, M.S.
• Natasha Renee Sloan, BS
• Barbara G Smith, MSW, LSW
• David R Smith, MD
• Elton John Smith, M.D.
• Ivy Smith, CD
• Nicole Sherae Smith, DNP, CRNA

• Adult Health Nurse Practitioner in Phila, PA
• Providers in Phila, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; 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.