DR. PHELESE SMITH MD
NPI 1336841493
Student in an Organized Health Care Education/Training Program in Waterbury, CT

Active since March 21, 2023PECOS Enrolled
56 FRANKLIN STREET, WATERBURY, CT 06706(203) 709-8685 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Phelese Smith Md NPPES

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

DR. PHELESE SMITH MD (NPI 1336841493) is an individual student in an organized health care education/training program in Waterbury, Connecticut and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336841493
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. PHELESE SMITHCredential: MD
Location Address56 FRANKLIN STREETWaterbury, CT 06706
Mailing Address56 Franklin St Ste 1Waterbury, CT 06706-1281
Sole ProprietorNo
Enumeration DateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
NPI 1336841493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

56 FRANKLIN STREET, Waterbury, CT 06706

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Phelese Smith Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
56 FRANKLIN STREET
WATERBURY, CT 06706
Student in an Organized Health Care Education/Training Program
56 FRANKLIN STREET
WATERBURY, CT 06706
Student in an Organized Health Care Education/Training Program
56 FRANKLIN STREET
WATERBURY, CT 06706
Registered Nurse (Critical Care Medicine)
56 FRANKLIN STREET
WATERBURY, CT 06706
Internal Medicine
56 FRANKLIN STREET
WATERBURY, CT 06706
Student in an Organized Health Care Education/Training Program
56 FRANKLIN STREET
WATERBURY, CT 06706
Hospitalist
56 FRANKLIN STREET
WATERBURY, CT 06706
Nurse Practitioner (Acute Care)
56 FRANKLIN STREET
WATERBURY, CT 06706

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 Phelese Smith's NPI number?

The NPI number for Phelese Smith is 1336841493. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Phelese Smith located?

Phelese Smith practices at 56 Franklin Street, Waterbury, CT 06706. The listed phone number is (203) 709-8685.

What is Phelese Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Phelese Smith enrolled in Medicare?

Yes. Phelese Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phelese Smith was last updated on March 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.