DERRELL SMITH
NPI 1700276243
Licensed Practical Nurse in Syracuse, NY

Q: What is Derrell Smith's NPI number?

The NPI number for Derrell Smith is 1700276243. It was assigned to this individual provider in the NPPES registry on February 4, 2015.

Q: What is Derrell Smith's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Derrell Smith was last updated on February 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since February 04, 2015

130 E BISSELL ST, SYRACUSE, NY 13207(315) 956-3690 Get Directions Write a Review

NPPES record last updated: February 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Derrell Smith NPPES

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

DERRELL SMITH (NPI 1700276243) is an individual licensed practical nurse in Syracuse, New York, licensed in New York (321023) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1700276243

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameDERRELL SMITH

Location Address130 E BISSELL STSyracuse, NY 13207-1801

Mailing Address130 East Bissell StreetSyracuse, NY 13205 · (315) 956-3690

Phone(315) 956-3690

Sole ProprietorNo

Enumeration DateFebruary 4, 2015

✔ NPI 1700276243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 321023

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

130 E BISSELL ST, Syracuse, NY 13207

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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 Derrell Smith's NPI number?

The NPI number for Derrell Smith is 1700276243. It was assigned to this individual provider in the NPPES registry on February 4, 2015.

Where is Derrell Smith located?

Derrell Smith practices at 130 E Bissell St, Syracuse, NY 13207. The listed phone number is (315) 956-3690.

What is Derrell Smith's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Derrell Smith was last updated on February 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.