Cynthia Diane Smith, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

019595 Issued in MO

Practice address

210 Hoover St
Jefferson City, MO 65109-0800

Phone

(573) 632-4321

Fax

(573) 632-4324

NPI assigned

Dec 17, 2008

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

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": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1124264429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E LAHARPE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014520",
            "telephone_number": "660-665-1962",
            "fax_number": "660-665-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HOOVER ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651090800",
            "telephone_number": "573-632-4321",
            "fax_number": "573-632-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CYNTHIA",
        "middle_name": "DIANE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "019595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serese Yvonne Smith-Haxton, MD
• Bonnie R Smith, M.D.
• Carol Amy Gamm Smith, M.A.
• Catherine Corrigan Smith, NNP
• Chrystala Smith
• Douglas N. Smith, D.O.
• James Marion Smith, LPC
• Jenna Smith, LMSW
• Joanna P. Smith, PA-C
• Loretta Smith, APN

• Licensed Practical Nurse in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.