Active NPI
Cynthia D Johnson Smith, RNC NP
- School Nurse Practitioner
- Charlestown, MA
National Provider Identifier
1982743365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Nurse Practitioner
- License
- 115301
- Practice address
- 240 Medford Ave
Charlestown High School
Charlestown, MA 02129 - Phone
- (617) 534-9957
- Fax
- (617) 534-9956
- NPI assigned
- Feb 5, 2007
- 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 |
|---|---|---|---|---|
| School Nurse Practitioner | 363LS0200X | 115301 | MA | Primary |
Addresses
Primary practice location
240 Medford Ave
Charlestown High School
Charlestown, MA 02129
Mailing address
1010 Massachusetts Avenue
Boston, MA 02118
Phone (617) 534-2398
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982743365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 MASSACHUSETTS AVENUE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-534-2398",
"fax_number": "617-534-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MEDFORD AVE",
"address_2": "CHARLESTOWN HIGH SCHOOL",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "02129",
"telephone_number": "617-534-9957",
"fax_number": "617-534-9956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON SMITH",
"first_name": "CYNTHIA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "RNC NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LS0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, School",
"state": "MA",
"license": "115301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlestown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.