Sharon Ann Smith

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

304262-031 Issued in WI

Practice address

961 Center St
Lake Mills, WI 53551-1928

Phone

(920) 945-0266

NPI assigned

Dec 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1013152297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 CENTER ST",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 CENTER ST",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535511928",
            "telephone_number": "920-945-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHARON",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "304262-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith May Schwager, RN BSN
• Nancy Shea, LCSW
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• Virginia Simon, MS, CCC-SLP
• Juliet Anne Slavens, D.D.S.
• Pamela Sue Speckbrock, OTR
• Ruthanne Reichert Taylor, FNP-BC
• Scott Andrew Tellefson, D.C.
• TLC Staffing LLC
• Whitney Marie Van Reesen, M.D.

• Licensed Practical Nurse in Lake Mills, WI
• Providers in Lake Mills, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.