Nina Sue Smith, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

01023456 Issued in IN

Practice address

11597 Newbridge CT
Carmel, IN 46032-8607

Phone

(317) 582-0393

NPI assigned

Mar 14, 2016

Last updated

Mar 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1982065363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11597 NEWBRIDGE CT",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328607",
            "telephone_number": "317-582-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11597 NEWBRIDGE CT",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328607",
            "telephone_number": "317-582-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NINA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01023456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Bacon Smith, MD
• Kathryn L Smith, OD
• Kinsey Smith, MA, LMHCA, NCC
• Lilian Smith, LCSW, LAC
• Mallory Smith
• Rashuna Smith
• Richard R Smith, M.D.
• Robert Allen Smith
• Sarah Smith
• Stephanie Luv Smith

• Specialist in Carmel, IN
• Providers in Carmel, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.