Shirleen Smith

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

49066 Issued in NE

Practice address

320 William Ave
North Platte, NE 69101-6007

Phone

(308) 530-7194

Fax

(308) 532-0228

NPI assigned

Aug 17, 2011

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

Other names 1

• North Platte Nurse Professional name

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": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1043590490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WILLIAM AVE",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016007",
            "telephone_number": "308-530-7194",
            "fax_number": "308-532-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WILLIAM AVE",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016007",
            "telephone_number": "308-530-7194",
            "fax_number": "308-532-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHIRLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "49066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORTH PLATTE",
            "last_name": "NURSE",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Larie Diane Smith
• Lyndsi Renee Smith
• Miranda Kay Smith
• Noel Smith
• Rebecca Ann Smith, PLMHP
• Sue Ann Smith
• Tarik Smith, PHARMD
• Tyrel Smith
• SNH Neb Tenant LLC
• William Snodgrass, RP

• Registered Nurse in North Platte, NE
• Providers in North Platte, NE by specialty
• Registered Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.