SUZANNE MARIE SMITH MSN RN CNS FNP NPI 1073824314

NPI Information

NPI: 1073824314
Provider Name: SUZANNE MARIE SMITH, MSN, RN, CNS, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1225 E COOLSPRING AVE STE 300
MICHIGAN CITY, IN
ZIP 46360
Phone: (219) 861-8161
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Suzanne Marie Smith, MSN, RN, CNS, FNP is a family nurse practitioner in Michigan City, IN with 14 years of experience. Suzanne Marie Smith, MSN, RN, CNS, FNP NPI is 1073824314. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1225 E COOLSPRING AVE STE 300
MICHIGAN CITY, IN
ZIP 46360-312
Phone: (219) 861-8161
Fax: (219) 861-8140

The NPI 1073824314 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/1/2010 and was last updated on 9/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	28156702A	INDIANA	No
2	363LF0000X	Nurse Practitioner	Family	71003293A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200996360	MEDICAID	INDIANA
2	M400023960	OTHER	INDIANA	MEDICARE PTAN
3	MI4120001	OTHER	MICHIGAN	MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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