BRIAN C SMITH CNP NPI 1790377075

NPI Information

NPI: 1790377075
Provider Name: BRIAN C SMITH, CNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: ADVOCATES FOR A HEALTHY COMMUNITY, INC

PECOS Registration: Yes

Address:
440 E TAMPA ST
SPRINGFIELD, MO
ZIP 65806
Phone: (417) 851-1551
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Brian C Smith, CNP is a psychiatric/mental health nurse practitioner in Springfield, MO with 4 years of experience. Brian C Smith, CNP NPI is 1790377075. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

440 E TAMPA ST
SPRINGFIELD, MO
ZIP 65806-131
Phone: (417) 851-1551
Fax: (417) 865-3479

The NPI 1790377075 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 2/8/2021 and was last updated on 2/8/2021.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2017004849	MISSOURI	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: 11/14/2023

NPI Synchronization or Removal

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