Chanelle Smith, RN

Primary specialty

Infection Control Registered NurseTaxonomy code 163WI0600X

License

4704310023 Issued in MI

Practice address

9248 Piedmont St
Detroit, MI 48228-1727

Phone

(248) 914-2939

NPI assigned

Jan 18, 2021

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1053900647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9248 PIEDMONT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281727",
            "telephone_number": "248-914-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9248 PIEDMONT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281727",
            "telephone_number": "248-914-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHANELLE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "MI",
            "license": "4704310023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE NUMBER",
            "identifier": "4704310023",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cameron Smith
• Carla M Smith, CSW
• Carly Smith, LMSW
• Carmen Renee Smith, MSN, RN
• Chad Derek Smith, MD
• Charlene Smith, MD
• Charles Smith
• Charles Giles Smith III, M.D.
• Chelsea Levonia Smith
• Cherrida Smith

• Infection Control Registered Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Infection Control Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.