Active NPI
Emily Smith, R.N., N.P.
- Women's Health Nurse Practitioner
- New York, NY
National Provider Identifier
1962819680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 1962819680
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962819680 | Medicaid | WA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1962819680 | WA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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
- emily.smith.1@31900.direct.athenahealth.com
- emily.smith@335000925634564.direct.elationemr.com
- 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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1558971929
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1730058934
-
- Family Medicine Physician
- New York, NY
- NPI 1700523982
-
- Internal Medicine Physician
- Glendale, CA
- NPI 1730944125
-
- Gynecologic Oncology Physician
- San Francisco, CA
- NPI 1285469346
-
- Family Medicine Physician
- Chicago, IL
- NPI 1588350730
-
- Clinic/Center
- Las Vegas, NV
- NPI 1689497349
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.