Brianne Leigh Smith

Individual provider Active NPI Registered Nurse · Lake Tapps, WA

NPI 1104770916 · NPPES record last updated Feb 26, 2026

Key facts

NPI
1104770916
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN60554385 (WA)
Practice address
3228 170TH Ave E
Lake Tapps, WA 98391-5530
Phone
(865) 250-8092
NPI assigned
Feb 26, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN60554385WAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60554385 WA Yes

Addresses

Primary practice location

3228 170TH Ave E
Lake Tapps, WA 98391-5530

Mailing address

3228 170TH Ave E
Lake Tapps, WA 98391-5530
Phone (865) 250-8092

Other providers in Lake Tapps, WA

All providers in Lake Tapps, WA · Registered Nurse in Washington

Sources for this page

Verify at the official NPI Registry.