Individual provider Active NPI

Bobbie Smith, RN

  • Registered Nurse
  • High Point, NC
National Provider Identifier
1134830490
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
251074 Issued in NC
Practice address
2783 NC Highway 68 S Ste 118
High Point, NC 27265-8325
Phone
(336) 543-6482
NPI assigned
Dec 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 251074 NC Primary

Addresses

Primary practice location

2783 NC Highway 68 S Ste 118
High Point, NC 27265-8325

Mailing address

1406 Corregidor St
Greensboro, NC 27406-4207
Phone (336) 253-5947

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

LicenseStateTypeSpecialty
251074NCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Contessa'S Home Care Agency LLC CurrentSince Dec 13, 2022 Accepting new patients

Locations

2783 NC Highway 68 S
Ste 118
High Point, NC 27265
Phone (336) 491-8104

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1134830490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 CORREGIDOR ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274064207",
            "telephone_number": "336-253-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2783 NC HIGHWAY 68 S STE 118",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658325",
            "telephone_number": "336-543-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BOBBIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "251074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.