Molly Ann Smyth, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN00138422 Issued in WA

Practice address

69 Kermel Rd
Omak, WA 98841-9739

Phone

(509) 322-5858

NPI assigned

Nov 11, 2019

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

• Molly Ann Dolgner Former name

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": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1104461391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 KERMEL RD",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419739",
            "telephone_number": "509-322-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 KERMEL RD",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419739",
            "telephone_number": "509-322-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYTH",
        "first_name": "MOLLY",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00138422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "DOLGNER",
            "middle_name": "ANN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristine Lynn Shuster
• Michael Justin Sirott, O.D.
• Jules Sleiman, MD
• Brendan Daniel Derivan Smith, N.D.
• Larry Dean Smith, D.O.
• Cheri Snodgrass
• Katie Mae Sommers, MA
• Sound Oxygen Service Inc
• Patricia Ann Spade
• Cherienne Spangler, LMT

• Registered Nurse in Omak, WA
• Providers in Omak, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.