Rachel Anne Smith

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

336194 Issued in NY

Practice address

1275 State Route 5 Lot 316
Elbridge, NY 13060-9685

Phone

(315) 406-1583

NPI assigned

Jul 26, 2019

Last updated

Aug 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1124672258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4088 VANDERSTOW RD",
            "city": "MORAVIA",
            "state": "NY",
            "postal_code": "131183556",
            "telephone_number": "315-604-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 STATE ROUTE 5 LOT 316",
            "city": "ELBRIDGE",
            "state": "NY",
            "postal_code": "130609685",
            "telephone_number": "315-406-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "336194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Reschke, LCSW
• Kiersten Hali Salemi, LPN
• Stephen Elliot Schwartz, DDS
• Adele Simons, PA-C
• Evelyn Simpson
• Virginia Margaret Smith, R.N.
• Peer A Soderberg, MD
• Molly Maria Tonzi
• Rebecca R Wilson, OTA

• Licensed Practical Nurse in Elbridge, NY
• Providers in Elbridge, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.