SUSANNA OLEY SMITH PMHNP-BC NPI 1669919767

NPI Information

NPI: 1669919767
Provider Name: SUSANNA OLEY SMITH, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
190 S MAIN ST STE B
CENTERVILLE, UT
ZIP 84014
Phone: (801) 614-8400
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Susanna Oley Smith, PMHNP-BC is a psychiatric/mental health nurse practitioner in Centerville, UT. Susanna Oley Smith, PMHNP-BC NPI is 1669919767. 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:

190 S MAIN ST STE B
CENTERVILLE, UT
ZIP 84014-839
Phone: (801) 614-8400

The NPI 1669919767 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 1/26/2017 and was last updated on 11/9/2023.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN58293	DISTRICT OF COLUMBIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	11850822-4405	UTAH	Yes

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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