Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MIAH RAVEN SYMONE SMITH
NPI 1477488047
Nurse Practitioner - Family in Matteson, IL

Active since June 16, 2026
402 TOWN CENTER RD, MATTESON, IL 60443(708) 852-5179 Get Directions Write a Review

NPPES record added: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miah Raven Symone Smith NPPES

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

MIAH RAVEN SYMONE SMITH (NPI 1477488047) is an individual family provider in Matteson, Illinois, licensed in Illinois (209035832) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1477488047
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIAH RAVEN SYMONE SMITH
Location Address402 TOWN CENTER RDMatteson, IL 60443-2300
Mailing Address402 Town Center RdMatteson, IL 60443-2300 · (773) 454-7157
Sole ProprietorNo
Enumeration DateJune 16, 2026
NPPES CertifiedJune 16, 2026
NPI 1477488047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209035832
402 TOWN CENTER RD, Matteson, IL 60443

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
402 TOWN CENTER RD
MATTESON, IL 60443
Nurse Practitioner (Family)
402 TOWN CENTER RD
MATTESON, IL 60443
Nurse Practitioner (Family)
402 TOWN CENTER RD
MATTESON, IL 60443
Clinic/Center (Urgent Care)
402 TOWN CENTER RD
MATTESON, IL 60443
Nurse Practitioner (Family)
402 TOWN CENTER RD
MATTESON, IL 60443
Nurse Practitioner (Family)
402 TOWN CENTER RD
MATTESON, IL 60443

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 Miah Smith's NPI number?

The NPI number for Miah Smith is 1477488047. It was assigned to this individual provider in the NPPES registry on June 16, 2026.

Where is Miah Smith located?

Miah Smith practices at 402 Town Center Rd, Matteson, IL 60443. The listed phone number is (708) 852-5179.

What is Miah Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Miah Smith was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.