Active NPI
Chelsea Marie Coffey Smith, RN, BSN
- Registered Nurse
- Pontiac, MI
National Provider Identifier
1992466940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704353402
- Practice address
- 1200 N Telegraph Rd
Pontiac, MI 48341-1032 - Phone
- (800) 231-1127
- NPI assigned
- Jan 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704353402 | MI | Primary |
Addresses
Primary practice location
1200 N Telegraph Rd
Pontiac, MI 48341-1032
Mailing address
5135 Rockwood Dr
Grand Blanc, MI 48439-4259
Phone (248) 977-2711
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Na | Direct | |
| Other URL | na | Direct |
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704353402 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1992466940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5135 ROCKWOOD DR",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484394259",
"telephone_number": "248-977-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N TELEGRAPH RD",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483411032",
"telephone_number": "800-231-1127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CHELSEA",
"middle_name": "MARIE COFFEY",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-03",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704353402",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Na",
"affiliation": "N",
"endpointDescription": "NA",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1200 N Telegraph Rd",
"city": "Pontiac",
"state": "MI",
"country_code": "US",
"postal_code": "483411032",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "na",
"affiliation": "N",
"endpointDescription": "na",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1200 N Telegraph Rd",
"city": "Pontiac",
"state": "MI",
"country_code": "US",
"postal_code": "483411032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.