Trisha Jean L Smith, MPH, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

30682 Issued in NC

Practice address

152 Bayshore Dr
Sneads Ferry, NC 28460-9509

Phone

(760) 805-8573

NPI assigned

Oct 23, 2006

Last updated

May 23, 2024By 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 3

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1144303371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 BAYSHORE DR",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "284609509",
            "telephone_number": "760-805-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 BAYSHORE DR",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "284609509",
            "telephone_number": "760-805-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRISHA JEAN",
        "middle_name": "L",
        "credential": "MPH, LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "30682",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN221053",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Sharp, LCSW
• Mackenzie Shuford, D.C.
• Andrew Sieber, SOIDC
• Molly Simmons
• Steven William Smith Jr., D.D.S.
• Sneads Ferry Family Pharmacy Inc (Sneads Ferry Family Pharmacy)
• Sneads Ferry Medical Clinic PA
• Sneads Ferry Pediatrics PC
• Shannon M Soares, ATC
• Sports OT LLC

• Licensed Practical Nurse in Sneads Ferry, NC
• Providers in Sneads Ferry, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.