Individual provider Active NPI

Emily Smith, R.N., N.P.

  • Women's Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1962819680
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1962819680 Issued in WA
Practice address
2578 Broadway # 580
New York, NY 10025-5642
Phone
(405) 873-7212
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 1962819680 WA Primary

Addresses

Primary practice location

2578 Broadway # 580
New York, NY 10025-5642

Mailing address

2578 Broadway # 580
New York, NY 10025-5642
Phone (405) 873-7212

Other identifiers 1

IdentifierTypeStateIssuer
1962819680MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1962819680WAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gabbi Health Medical Group of California, PC Past Accepting new patients
Jane Medical PLLC Past Accepting new patients
New York Birdie Health PC Past Accepting new patients
New Jersey Birdie Health PC Past Accepting new patients
Nevada Gandhi Health PC Past Accepting new patients
Possible Health Ca, PC Past Accepting new patients
California Birdie Health, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: emily.smith.1@31900.direct.athenahealth.com
  • Direct secure messaging: emily.smith@335000925634564.direct.elationemr.com
  • Direct secure messaging: emily.smith@332828990373892.direct.elationemr.com

Organizations & group practices 7

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": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1962819680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2578 BROADWAY # 580",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255642",
            "telephone_number": "405-873-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2578 BROADWAY # 580",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255642",
            "telephone_number": "405-873-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EMILY",
        "name_prefix": "Miss",
        "credential": "R.N., N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "1962819680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962819680",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.