Christine Smyth, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95018236 Issued in CA

Practice address

1750 El Camino Real Ste 202
Burlingame, CA 94010-3214

Phone

(650) 692-9751

Fax

(650) 697-0729

NPI assigned

Sep 16, 2021

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: csmyth594482@hisp.ehr.sutterhealth.org

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.

• Yun Ying Shi MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Burlingame, CA
  • NPI 1184132904
  Medicare reassignment NPD

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1962172387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL STE 202",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103214",
            "telephone_number": "650-692-9751",
            "fax_number": "650-697-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL STE 202",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103214",
            "telephone_number": "650-692-9751",
            "fax_number": "650-697-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYTH",
        "first_name": "CHRISTINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Slavet
• Lori Smiley-Klingler, M.F.T.
• Joanna Smiley, MA
• Brianna Jazmine Smith, PA-C
• Matthew Hall Smith, ATC, EMT
• Soar Surgery Center, LLC
• Soar Surgery Center, LLC
• Elisia N Solomon
• Tian Yue Song, MD
• Stephanie Soo, M.S.

• Family Nurse Practitioner in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.