Elaine Clare Smith, R.N.

Key facts

NPI

1124172812

Entity type

Individual (NPI type 1)

Primary specialty

Community Health Registered Nurse 163WC1500X

Practice address

3180 Center St NE
Salem, OR 97301-4532

Phone

(503) 588-5403

Fax

(503) 588-5353

NPI assigned

Jan 22, 2007

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

Credentials

Registered Nurse

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124172812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 IVORY WAY NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973052143",
            "telephone_number": "503-390-4279",
            "fax_number": "503-390-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 CENTER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014532",
            "telephone_number": "503-588-5403",
            "fax_number": "503-588-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELAINE",
        "middle_name": "CLARE",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

• Corina Smith, PHARMD
• Cory M Smith, DMD
• Daniel Karl Smith
• Daniel V Smith, PSY.D.
• Denise E Smith, LCSW
• Emily Kathleen Smith, LMT
• Grant M Smith, DDS
• Hallie Kay Smith, RDH
• Heather Smith, LPN
• Hope Smith

All providers in Salem, OR · Community Health Registered Nurse in Oregon