Active NPI
Paulette Smith, RN
- Registered Nurse
- Sun Prairie, WI
National Provider Identifier
1114176492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 146475-030
- Practice address
- 3115 Selkirk Dr Apt 2
Sun Prairie, WI 53590-4297 - Phone
- (608) 837-0538
- NPI assigned
- Sep 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 146475-030 | WI | Primary |
| Home Health Certified Respiratory Therapist | 2278H0200X | 146475-030 | WI |
Addresses
Primary practice location
3115 Selkirk Dr Apt 2
Sun Prairie, WI 53590-4297
Mailing address
3115 Selkirk Dr Apt 2
Sun Prairie, WI 53590-4297
Phone (608) 837-0538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146475-030 | WI | MD | Home Health Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221091200000",
"number": "1114176492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 SELKIRK DR APT 2",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535904297",
"telephone_number": "608-837-0538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3115 SELKIRK DR APT 2",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535904297",
"telephone_number": "608-837-0538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "PAULETTE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2008-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "146475-030",
"primary": true
},
{
"code": "2278H0200X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Home Health",
"state": "WI",
"license": "146475-030",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun Prairie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.