LISA HELENE SMITH MD NPI 1043293236

NPI Information

  • NPI: 1043293236
  • Provider Name: LISA HELENE SMITH, MD
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 813 W 2ND ST
    BLOOMINGTON, IN
    ZIP 47403
  • Phone: (812) 353-3470

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NPI Details

Lisa Helene Smith, MD is a neurology with special qualifications in child neurology psychiatry neurology in Bloomington, IN. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Lisa Helene Smith, MD NPI is 1043293236. 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:

813 W 2ND ST
BLOOMINGTON, IN
ZIP 47403-212
Phone: (812) 353-3470

The NPI 1043293236 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 11/22/2005 and was last updated on 10/18/2024.

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
1208000000XPediatrics01063998AINDIANANo
22084E0001XPsychiatry & NeurologyEpilepsy01063998AINDIANANo
32084N0400XPsychiatry & NeurologyNeurology1063998AINDIANANo
42084N0600XPsychiatry & NeurologyClinical Neurophysiology01063998AINDIANANo
52084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology01063998AINDIANAYes

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
1000000628410OTHERINDIANAANTHEM PTAN
21102246535OTHERINDIANAANTHEM PTAN
3262210GOTHERINDIANAMEDICARE PTAN
4200889720MEDICAIDINDIANA

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: 3/30/2025

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