Individual provider Active NPI

Sally Ann Spry-Smith, CNM,NP

  • Advanced Practice Midwife
  • Los Angeles, CA
National Provider Identifier
1982812558
Registry record updated Nov 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
NMW1152 Issued in CA
Practice address
400 W 30TH St
Los Angeles, CA 90007-3320
Phone
(213) 284-3200
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 370242 CA
Advanced Practice Midwife 367A00000X NMW1152 CA Primary

Addresses

Primary practice location

400 W 30TH St
Los Angeles, CA 90007-3320

Mailing address

400 W 30TH St
Los Angeles, CA 90007-3320
Phone (213) 284-3200

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)
Not enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
370242CAMDObstetrics & Gynecology Nurse Practitioner
NMW1152CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Antelope Valley Clinic PastSince Jul 20, 2021 Accepting new patients
Planned Parenthood of Greater New York Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sally.sprysmithrnp.p1@direct.plannedparenthoodla.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383436800000",
    "number": "1982812558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 30TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900073320",
            "telephone_number": "213-284-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 30TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900073320",
            "telephone_number": "213-284-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRY-SMITH",
        "first_name": "SALLY",
        "middle_name": "ANN",
        "credential": "CNM,NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2013-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "370242",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "NMW1152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2013; 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.