Felicia Nicole Smith, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

892288 Issued in MS

Practice address

58 Hawthorne Dr
Hattiesburg, MS 39402-7232

Phone

(662) 315-0755

NPI assigned

Oct 12, 2020

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

Other names 1

• Miss Felicia Nicole Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: felicia.smith.1@26304.direct.athenahealth.com

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1023616133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 HAWTHORNE DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027232",
            "telephone_number": "662-315-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 HAWTHORNE DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027232",
            "telephone_number": "662-315-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "FELICIA",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "892288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FELICIA",
            "last_name": "SMITH",
            "middle_name": "NICOLE",
            "prefix": "MISS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christian Smith
• Christy Smith, LCSW
• Courtney L Smith
• Daniel Henlee Smith, M.D.
• Elizabeth Conerly Smith, PHD, LPC. BCTMH
• Heather E Smith
• Hunter K Smith
• James Matthew Smith, NP
• Johnnie J Smith
• Kathryn A. Smith, AUDIOLOGISTS

• Family Nurse Practitioner in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.