DR. DANIEL JACKSON SMITH PHD AGPCNP-BC CNE NPI 1902556848

NPI Information

  • NPI: 1902556848
  • Provider Name: DR. DANIEL JACKSON SMITH, PHD, AGPCNP-BC, CNE
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 E TUPPER ST
    BUFFALO, NY
    ZIP 14203
  • Phone: (716) 919-6870

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NPI Details

DR. Daniel Jackson Smith, PHD, AGPCNP-BC, CNE is a nurse practitioner in Buffalo, NY. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. DR. Daniel Jackson Smith, PHD, AGPCNP-BC, CNE NPI is 1902556848. 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:

100 E TUPPER ST
BUFFALO, NY
ZIP 14203-315
Phone: (716) 919-6870

The NPI 1902556848 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 3/24/2022 and was last updated on 10/4/2024.

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
1163W00000XRegistered NurseRN749716PENNSYLVANIANo
2163W00000XRegistered NurseRN280809GEORGIANo
3363L00000XNurse PractitionerRN280809GEORGIANo
4363L00000XNurse PractitionerSP025728PENNSYLVANIANo
5363L00000XNurse Practitioner311879NEW YORKYes

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: 11/21/2025

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