Angela Marie Smith, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

4704232095 Issued in MI

Practice address

926 Washington Ave
Building C
Holland, MI 49423-7725

Phone

(616) 393-0166

Fax

(616) 393-0167

NPI assigned

May 30, 2008

Last updated

Apr 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ams@hpah.pcc-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holland Pediatric Associates, PLC

  • Specialist
  • Holland, MI
  • NPI 1912970922
  NPD (past)
• Michigan Pediatric Hospitalist, PC

  • Hospitalist Physician
  • Holland, MI
  • NPI 1184814824
  NPD (past)

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1063670677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 WASHINGTON AVE",
            "address_2": "BUILDING C",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237725",
            "telephone_number": "616-393-0166",
            "fax_number": "616-393-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 WASHINGTON AVE",
            "address_2": "BUILDING C",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237725",
            "telephone_number": "616-393-0166",
            "fax_number": "616-393-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9237397",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704232095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smile South Holland
• Larry Francis Smiley, D.D.S., M.M.
• Aisha I Smith
• Amanda Jean Smith
• Amy Kay Smith, PT, DPT
• Brianna Smith
• Cody Robert Smith, RN
• Craig S. Smith, D.D.S.
• Dylan Smith
• Greg Smith, LBSW

• Pediatric Nurse Practitioner in Holland, MI
• Providers in Holland, MI by specialty
• Pediatric Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.