Stephanie Ann Smart, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704150277 Issued in MI

Practice address

2198 US 31 S
Manistee, MI 49660-9618

Phone

(231) 723-3567

NPI assigned

Jun 6, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Manistee Benzie Community Mental Health

  • Community/Behavioral Health Agency
  • Manistee, MI
  • NPI 1063581205
  NPD (past)
• Manistee Benzie Community Mental Health

  • Primary Care Clinic/Center
  • Manistee, MI
  • NPI 1366806432
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1902845795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6227 FRANKFORT HWY",
            "city": "BENZONIA",
            "state": "MI",
            "postal_code": "496168632",
            "telephone_number": "231-723-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2198 US 31 S",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496609618",
            "telephone_number": "231-723-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMART",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704150277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4704150277",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "3RD PARTY IDENTIFER",
            "identifier": "SS150277",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Shimel
• Jennifer Sielski, LPC
• Sandra S Sielski, RN
• Esther Sigurdardottir, PT
• Sleep Apnea Solutions PC
• Walter A Smart, LBSW
• Craig A Smith, MS, LLP
• Nichole Ann Smith, LMT
• Sally Elizabeth Somsel, PT
• Courtney Sorenson

• Family Nurse Practitioner in Manistee, MI
• Providers in Manistee, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.