LISA CUNNINGHAM SMITH NP NPI 1164428397

NPI Information

  • NPI: 1164428397
  • Provider Name: LISA CUNNINGHAM SMITH, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 65 INTERNATIONAL DR
    GREENVILLE, SC
    ZIP 29615
  • Phone: (864) 987-7000

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NPI Details

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
1363LF0000XNurse PractitionerFamily1165SOUTH CAROLINAYes

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
1S74530MEDICARE UPINSOUTH CAROLINA
2NP0265MEDICAIDSOUTH CAROLINA
3AA61807951MEDICARE PINSOUTH CAROLINA
4P01129674OTHERSOUTH CAROLINARAILROAD 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: 3/30/2025

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