LISA CUNNINGHAM SMITH NP NPI 1164428397

NPI Information

NPI: 1164428397
Provider Name: LISA CUNNINGHAM SMITH, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
65 INTERNATIONAL DR
GREENVILLE, SC
ZIP 29615
Phone: (864) 987-7000
Get Directions

Lisa Cunningham Smith, NP is a family nurse practitioner in Greenville, SC. Lisa Cunningham Smith, NP NPI is 1164428397. 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:

65 INTERNATIONAL DR
GREENVILLE, SC
ZIP 29615-816
Phone: (864) 987-7000
Fax: (864) 987-7020

The enumeration date for this NPI number is 6/22/2005 and was last updated on 10/13/2015.

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	1165	SOUTH CAROLINA	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	S74530	MEDICARE UPIN	SOUTH CAROLINA
2	NP0265	MEDICAID	SOUTH CAROLINA
3	AA61807951	MEDICARE PIN	SOUTH CAROLINA
4	P01129674	OTHER	SOUTH CAROLINA	RAILROAD MEDICARE

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: 4/28/2024

NPI Synchronization or Removal

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