Kelly Smith

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

187389 Issued in CA

Legal business name

KELLY SMITH

Practice address

30724 Benton Rd
C-302 #551
Winchester, CA 92596-8470

Phone

(951) 837-4703

Fax

(951) 837-4702

NPI assigned

Oct 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly Smith, L.V.N.

Title

Nurse

Phone

(951) 837-4703

Specialties & licenses 1

Addresses

Other names 1

• optimal home care & staffing Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1003005513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29970 TECHNOLOGY DR",
            "address_2": "#208",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632645",
            "telephone_number": "951-837-4703",
            "fax_number": "951-837-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30724 BENTON RD",
            "address_2": "C-302 #551",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925968470",
            "telephone_number": "951-837-4703",
            "fax_number": "951-837-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-20",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "951-837-4703",
        "authorized_official_credential": "L.V.N."
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "187389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "optimal home care & staffing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney E Johnson
• Preston Johnson
• Alondra Juarez
• Karolina Kapustova, PHARMD
• Melissa Keil, CD
• Kengga Enterprises
• Ifeanyi Jennifer Kerri-Walker
• KG Nemt LLC
• Lindsay Kristensen, MA
• Amber Lynn Kuhn, LVN

• Licensed Vocational Nurse in Winchester, CA
• Providers in Winchester, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.