Autumn Smith

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

327972 Issued in NY

Practice address

3727 W Main Street Rd
Apt A6
Batavia, NY 14020-9408

Phone

(585) 813-6697

NPI assigned

Feb 9, 2017

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

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1164960118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 W MAIN STREET RD",
            "address_2": "APT A6",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140209408",
            "telephone_number": "585-813-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 W MAIN STREET RD",
            "address_2": "APT A6",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140209408",
            "telephone_number": "585-813-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AUTUMN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "327972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kati Sisson
• Jacquelyn Mary Siverling, LPN
• Nichole Sixt
• Marianne Skye, PTA, RYT-200
• Lucy Ashbrook Sloan, MS IN OT, CIMI
• Deacon Smith
• Deborah Jo Smith, COTA
• Jillian Smith
• Pamela Frances Smith, OTR/L
• Stacey L Smith, LMSW

• Licensed Practical Nurse in Batavia, NY
• Providers in Batavia, 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 Feb 9, 2017; 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.