CATHERINE DOLPHIN SMITH NP NPI 1336629641

NPI Information

  • NPI: 1336629641
  • Provider Name: CATHERINE DOLPHIN SMITH, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15945 CLAYTON RD STE 120B
    BALLWIN, MO
    ZIP 63011
  • Phone: (636) 256-5070

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NPI Details

Catherine Dolphin Smith, NP is an adult health nurse practitioner in Ballwin, MO with 28 years of experience. Catherine Dolphin Smith, NP NPI is 1336629641. 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:

15945 CLAYTON RD STE 120B
BALLWIN, MO
ZIP 63011-490
Phone: (636) 256-5070
Fax: (636) 256-5066

The NPI 1336629641 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 8/16/2018 and was last updated on 8/26/2024.

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
1363LG0600XNurse PractitionerGerontology2018024092MISSOURINo
2363LA2200XNurse PractitionerAdult Health2018024092MISSOURIYes

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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