MS. MARISSA LEIGH SMITH FNP NPI 1720480015

NPI Information

NPI: 1720480015
Provider Name: MS. MARISSA LEIGH SMITH, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: WASHINGTON UNIVERSITY

PECOS Registration: Yes

Address:
1600 S BRENTWOOD BLVD
DIV NEUROLOGY SLEEP MED, STE 600
SAINT LOUIS, MO
ZIP 63144
Phone: (314) 362-1408
Get Directions

MS. Marissa Leigh Smith, FNP is a family nurse practitioner in Saint Louis, MO with 13 years of experience. MS. Marissa Leigh Smith, FNP NPI is 1720480015. 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:

1600 S BRENTWOOD BLVD
DIV NEUROLOGY SLEEP MED, STE 600
SAINT LOUIS, MO
ZIP 63144-320
Phone: (314) 362-1408
Fax: (314) 747-4342

The NPI 1720480015 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 9/18/2014 and was last updated on 11/15/2021.

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	2021009802	MISSOURI	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	420097107	MEDICAID	MISSOURI

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »