Individual provider Active NPI

Brandy Smiley, APRN

  • Family Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1952857609
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0030656 Issued in OH
Practice address
1222 S Patterson Blvd Ste 230
Dayton, OH 45402-2643
Phone
(937) 853-3650
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 435584 OH
Registered Nurse 163W00000X RN.435584 OH
Licensed Practical Nurse 164W00000X LPN.159098.MEDS-IV OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0030656 OH Primary

Addresses

Primary practice location

1222 S Patterson Blvd Ste 230
Dayton, OH 45402-2643

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

Other practice location 1

1161 E Dayton Yellow Springs Rd
Fairborn, OH 45324-6325
Phone (937) 318-3930

Other identifiers 1

IdentifierTypeStateIssuer
0034181MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220317001960 OH Practitioner - Nurse Practitioner 2769877372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Equitas Health,IncGroup PAC ID 2769638154, 37 clinicians

Practice addresses (Care Compare)

1222 S Patterson Blvd
Suite 230
Dayton, OH 45402-2643
Phone (937) 853-3650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
435584OHMDRegistered Nurse
RN.435584OHMDRegistered Nurse
LPN.159098.MEDS-IVOHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Equitas Health, Inc CurrentSince Aug 8, 2022 Accepting new patients
Equitas Health, Inc CurrentSince Aug 8, 2022 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Mar 16, 2022 Accepting new patients
Equitas Health,Inc Current Accepting new patients

Locations

1105 Schrock Rd
Ste 400
Columbus, OH 43229

1033 N High St
Columbus, OH 43201
Phone (614) 340-6776

L3842
Columbus, OH 43260

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

3165 Dayton Xenia Rd
Dayton, OH 45434
Phone (937) 431-8230

1222 S Patterson Blvd
Ste 230
Dayton, OH 45402
Phone (937) 223-5350

1161 E Dayton Yellow Springs Rd
Fairborn, OH 45324
Phone (937) 318-3920

2805 Gilbert Ave
Walnut Hills, OH 45206
Phone (513) 281-4116

Interoperability endpoints

  • Direct secure messaging: brandy.smiley@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1952857609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 S PATTERSON BLVD STE 230",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022643",
            "telephone_number": "937-853-3650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1161 E Dayton Yellow Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Fairborn",
            "state": "OH",
            "postal_code": "453246325",
            "country_code": "US",
            "telephone_number": "937-318-3930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMILEY",
        "first_name": "BRANDY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "435584",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.435584",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.159098.MEDS-IV",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0030656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0034181",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.