HEIDI M SMITH NP-C NPI 1629456330

NPI Information

NPI: 1629456330
Provider Name: HEIDI M SMITH, NP-C
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
300 W 27TH ST
LUMBERTON, NC
ZIP 28358
Phone: (910) 755-5222
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Heidi M Smith, NP-C is a psychiatric/mental health nurse practitioner in Lumberton, NC with 9 years of experience. Heidi M Smith, NP-C NPI is 1629456330. 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:

300 W 27TH ST
LUMBERTON, NC
ZIP 28358-075
Phone: (910) 755-5222

The NPI 1629456330 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 5/13/2015 and was last updated on 3/8/2023.

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	363LA2200X	Nurse Practitioner	Adult Health	251548	NORTH CAROLINA	No
2	363LG0600X	Nurse Practitioner	Gerontology	251548	NORTH CAROLINA	No
3	363LP2300X	Nurse Practitioner	Primary Care	5008350	NORTH CAROLINA	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	5008350	NORTH 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	NCR588ABCD	OTHER	NORTH CAROLINA	MEDICARE
2	19HKU	OTHER	NORTH CAROLINA	BCBSNC
3	1629456330	MEDICAID	NORTH CAROLINA

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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