Cathy Ann Smith, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP30001695 Issued in WA

Practice address

700 S 2ND St
Room 301
Mount Vernon, WA 98273-3879

Phone

(360) 336-9380

Fax

(360) 336-9401

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114049723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 ERSHIG RD",
            "city": "BOW",
            "state": "WA",
            "postal_code": "982329670",
            "telephone_number": "360-766-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S 2ND ST",
            "address_2": "ROOM 301",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733879",
            "telephone_number": "360-336-9380",
            "fax_number": "360-336-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CATHY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP30001695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83-065-11",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merrily M Sloan
• Elaina L Smaby, DPT
• David E Small
• Nicole Reynolds Small, MSW, LICSW
• Aubrey Chase Smith, DPT
• Colter Robert Smith, MS, LMHCA
• Jacqueline Michelle Smith, OTA/L
• Jason Richard Smith, DPT
• Jay Arthur Smith, P.T.
• Julie E Smith, LM, CPM

• Adult Health Nurse Practitioner in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Adult Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.