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MRS. MISTY DAWN SMITH NP
NPI 1447095013
Nurse Practitioner in Shiloh, IL

Active since June 26, 2024
1179 FORTUNE BLVD, SHILOH, IL 62269(618) 624-7300 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Misty Dawn Smith Np NPPES

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

MRS. MISTY DAWN SMITH NP (NPI 1447095013) is an individual nurse practitioner in Shiloh, Illinois, licensed in Illinois (209028902) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1447095013
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. MISTY DAWN SMITHCredential: NP
Location Address1179 FORTUNE BLVDShiloh, IL 62269-7377
Mailing Address1500 Coles CtEdwardsville, IL 62025-3203 · (618) 610-0063
Phone(618) 624-7300
Sole ProprietorNo
Enumeration DateJune 26, 2024
NPPES CertifiedJune 26, 2024
✔ NPI 1447095013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209028902
Definition
(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.
1179 FORTUNE BLVD, Shiloh, IL 62269
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Other Providers at the Same Location NPPES 3

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

MEGAN ELIZABETH LESKO NP
Nurse Practitioner (Family)
1179 FORTUNE BLVD
SHILOH, IL 62269
St. Clair County (309) 368-8984
BRIANNA LEE BOWLES AU.D.
Audiologist
1179 FORTUNE BLVD
SHILOH, IL 62269
St. Clair County (618) 628-0715
DR. DAVID WILLIAM LESKO MD
Otolaryngology
1179 FORTUNE BLVD
SHILOH, IL 62269
St. Clair County (618) 628-0715

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 Misty Smith's NPI number?

The NPI number for Misty Smith is 1447095013. It was assigned to this individual provider in the NPPES registry on June 26, 2024.

Where is Misty Smith located?

Misty Smith practices at 1179 Fortune Blvd, Shiloh, IL 62269. The listed phone number is (618) 624-7300.

What is Misty Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Misty Smith was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.