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MS. SUSAN SPIVOCK SMITH CRNP
NPI 1336144252
Nurse Practitioner - Gerontology in Camp Lejeune, NC

Active since June 16, 2005
100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 28548(910) 450-4159(910) 450-4194 Get Directions Write a Review

NPPES record last updated: October 25, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Susan Spivock Smith Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SUSAN SPIVOCK SMITH CRNP (NPI 1336144252) is an individual gerontology provider in Camp Lejeune, North Carolina, licensed in Maryland (R108147) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1336144252
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMS. SUSAN SPIVOCK SMITHCredential: CRNP
Location Address100 BREWSTER BLVD, NAVAL HOSPITALCamp Lejeune, NC 28548-2538
Mailing Address100 Brewster Blvd, Naval HospitalCamp Lejeune, NC 28548-2538 · (910) 450-4159 · Fax (910) 450-4194
Phone(910) 450-4159
Fax(910) 450-4194
Sole ProprietorYes
Enumeration DateJune 16, 2005
Last NPPES UpdateOctober 25, 2011
✔ NPI 1336144252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MD · R108147
100 BREWSTER BLVD, Camp Lejeune, NC 28548
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Other Identifiers 3

Medicare UPIN596729
Medicare ID-Type Unspecified490482MD
Medicaid553211600MD

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Smith's NPI number?

The NPI number for Susan Smith is 1336144252. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Susan Smith located?

Susan Smith practices at 100 Brewster Blvd Naval Hospital, Camp Lejeune, NC 28548. The listed phone number is (910) 450-4159.

What is Susan Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Susan Smith was last updated on October 25, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.