Niki Smith, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

9510122 Issued in FL

Practice address

130 Prairie Dr
Hawthorne, FL 32640-4321

Phone

(352) 284-3493

NPI assigned

Sep 20, 2019

Last updated

Apr 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grade a Nursing Services LLC

  • Home Health Agency
  • Hawthorne, FL
  • NPI 1447030101
  NPD Authorized official

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1013568195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2044",
            "city": "HAWTHORNE",
            "state": "FL",
            "postal_code": "326402044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PRAIRIE DR",
            "city": "HAWTHORNE",
            "state": "FL",
            "postal_code": "326404321",
            "telephone_number": "352-284-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NIKI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "9510122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rural Health Care Incorporated (Aza Health)
• Rural Health Care, Incorporated (Aza Health)
• Nalini Lalit Sharma, M.D
• Stephanie Renee Short, RPHT , CPHT
• Charlene Silver, LMT
• Sorrid Medical Consultants PLLC
• Therapyplus.
• Lenise Valma Thomas
• Kristen Tiurchy, OT
• David Martin Trax, D.C.

• General Practice Registered Nurse in Hawthorne, FL
• Providers in Hawthorne, FL by specialty
• General Practice Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.