MS. SUSAN FAYE SMITH APRNBCFNP NPI 1174502058

NPI Information

NPI: 1174502058
Provider Name: MS. SUSAN FAYE SMITH, APRN,BC,FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
104 N PARK ST
NORTHWOOD, ND
ZIP 58267
Phone: (701) 587-6602
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MS. Susan Faye Smith, APRN,BC,FNP is a family nurse practitioner in Northwood, ND. MS. Susan Faye Smith, APRN,BC,FNP NPI is 1174502058. 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:

104 N PARK ST
NORTHWOOD, ND
ZIP 58267-103
Phone: (701) 587-6602
Fax: (701) 587-6009

The NPI 1174502058 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 1/10/2006 and was last updated on 4/1/2011.

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	163W00000X	Registered Nurse		R181514-2	MINNESOTA	No
2	363LF0000X	Nurse Practitioner	Family	R34545	NORTH DAKOTA	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	1174502058	OTHER		TRICARE
2	84039	MEDICAID	NORTH DAKOTA
3	1174502058	OTHER	NORTH DAKOTA	ND BCBS
4	Q45282	MEDICARE UPIN	MISSOURI
5	1174502058	MEDICAID	MINNESOTA

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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