Elena Smith-Moulden

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704352618 Issued in MI

Practice address

3700 Reservoir Rd NW
Washington, DC 20007-2111

Phone

(202) 687-0100

NPI assigned

Jun 11, 2022

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": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654905600000",
    "number": "1013647239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1788 N PIERCE ST APT 1302",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092533",
            "telephone_number": "248-505-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 RESERVOIR RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072111",
            "telephone_number": "202-687-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-MOULDEN",
        "first_name": "ELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-11",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704352618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enijah Smith-Joe, LICSW, MPH
• Charline Smith-Johnson, RBT
• Takethia Smith-Jones
• Ruth A. Smith-Landry, RPH
• Janique Smith-Maddox
• Jessica French Smith-O'Connor, LGSW
• Ann E Smith-Williams, OT/L
• Aca Smith
• Adrienne Monica Smith, MD
• Aerial Suzan Smith, PCA

• Registered Nurse in Washington, DC
• Providers in Washington, DC by specialty
• Registered Nurse in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; 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.