IndividualActive
Avery Smith, CRNA
NPI 1124799655 · Certified Registered Nurse Anesthetist · Chicago, IL
Provider details
- NPI number
- 1124799655
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 041400420 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Nursing Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1101 W Pratt Blvd Apt 2w
Chicago, IL 60626-4477
Phone: (312) 953-0564
Street-level locationGet directions
Mailing address
1101 W Pratt Blvd Apt 2w
Chicago, IL 60626-4477
Registry dates
- Enumerated
- 2021-09-23
- Last updated
- 2023-06-16
- Certified
- 2023-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.