SERGEY SMIRNOV NP
NPI 1699318295
Nurse Practitioner - Family in St Johns, FL

NPI Status: Active since October 26, 2019

Contact Information

255 RIVERTOWN SHOPS DR STE 102-161
ST JOHNS, FL
ZIP 32259
Phone: (904) 377-3154

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  • Individual
  • Male
  • Nurse Practitioner
  • Family

About SERGEY SMIRNOV

This page provides the complete NPI Profile along with additional information for Sergey Smirnov, a provider established in St Johns, Florida with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1699318295 assigned on October 2019. The practitioner's primary taxonomy code is 363LF0000X with license number APRN11005649 (FL). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1699318295
Provider Name
SERGEY SMIRNOV NP
Gender
Male
Entity Type
Individual
Location Address
255 RIVERTOWN SHOPS DR STE 102-161 ST JOHNS, FL 32259
Location Phone
(904) 377-3154
Mailing Address
6629 BROADWAY APT 5C BRONX, NY 10471
Mailing Phone
(646) 552-6494
Is Sole Proprietor?
Yes
Enumeration Date
10-26-2019
Last Update Date
01-31-2025
Code Navigator

A nurse practitioner (NP) like Sergey Smirnov is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
APRN11005649
License State
FL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

345197 (NY)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1699318295
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261896116218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 6 + 1 + 1 + 6 + 2 + 1 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1699318295 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699318295, enumerated as an "individual" on October 26, 2019.

The provider is located at 255 RIVERTOWN SHOPS DR STE 102-161 ST JOHNS, FL 32259 and the phone number is (904) 377-3154.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.