Patricia Smith, R.N.

Primary specialty

SpecialistTaxonomy code 174400000X

License

R34622 Issued in NM

Practice address

490B W Zia Rd Ste 1
Santa Fe, NM 87505-7009

Phone

(505) 995-8346

NPI assigned

Oct 3, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Milagro Vein Solutions LLC

  • Vascular Surgery Physician
  • Santa Fe, NM
  • NPI 1396799110
  NPD (past)
• Living Our Dreams LLC

  • Medical Specialty Clinic/Center
  • Gilbert, AZ
  • NPI 1578872180
  NPD (past)

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1164706677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19420 N 59TH AVE STE B233",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086886",
            "telephone_number": "505-984-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490B W ZIA RD STE 1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057009",
            "telephone_number": "505-995-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PATRICIA",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "R34622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE/ CERTIFICATION NUMBER",
            "identifier": "R62054",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilym Smith
• Matthew L Smith, RN
• Melissa Marie Smith
• Michelle Smith
• Morgan Alexandra Smith, PMHNP
• Sally Anne Smith, FNP
• Shannon Smith
• Taylor Robert Smith, HIS
• Theresa Christine Smith, MD
• Wilma Smith

• Specialist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.