Individual provider Active NPI

Ginny Lea Smiley, RNC

  • Neonatal Intensive Care Registered Nurse
  • Bossier City, LA
National Provider Identifier
1053816611
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Intensive Care Registered NurseTaxonomy code 163WN0002X
License
RN133462 Issued in LA
Practice address
6507 Barksdale Blvd Lot 109
Bossier City, LA 71112-8637
Phone
(318) 347-1433
NPI assigned
Mar 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Intensive Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WN0002X RN133462 LA Primary

Addresses

Primary practice location

6507 Barksdale Blvd Lot 109
Bossier City, LA 71112-8637

Mailing address

6507 Barksdale Blvd Lot 109
Bossier City, LA 71112-8637
Phone (318) 347-1433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN133462LAMDNeonatal Intensive Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1053816611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 BARKSDALE BLVD LOT 109",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711128637",
            "telephone_number": "318-347-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 BARKSDALE BLVD LOT 109",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711128637",
            "telephone_number": "318-347-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILEY",
        "first_name": "GINNY",
        "middle_name": "LEA",
        "credential": "RNC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "LA",
            "license": "RN133462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.