Active NPI
Vicki Lee Smith, CNM
- Advanced Practice Midwife
- Weston, WV
National Provider Identifier
1982707980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 132
- Practice address
- 66 Hospital PLZ
Suite 104
Weston, WV 26452-8595 - Phone
- (304) 269-3108
- Fax
- (304) 517-1570
- NPI assigned
- Sep 6, 2006
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 132 | WV | Primary |
Addresses
Primary practice location
66 Hospital PLZ
Suite 104
Weston, WV 26452-8595
Mailing address
66 Hospital PLZ
Suite 104
Weston, WV 26452-8595
Phone (304) 269-3108
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP0049 | Medicaid | AK | |
| 7105230000 | Medicaid | WV |
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
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132 | WV | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stonewall Jackson Memorial Hospital Company | Past | Accepting new patients | |
| Primary Oncology Network PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Fairmont, WV
- NPI 1588610570
-
- Orthopaedic Surgery Physician
- Weston, WV
- NPI 1922392851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449792000000",
"number": "1982707980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 HOSPITAL PLZ",
"address_2": "SUITE 104",
"city": "WESTON",
"state": "WV",
"postal_code": "264528595",
"telephone_number": "304-269-3108",
"fax_number": "304-517-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 HOSPITAL PLZ",
"address_2": "SUITE 104",
"city": "WESTON",
"state": "WV",
"postal_code": "264528595",
"telephone_number": "304-269-3108",
"fax_number": "304-517-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "VICKI",
"middle_name": "LEE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2015-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WV",
"license": "132",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP0049",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7105230000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.