Andrea Michelle Smith, RN, MS, FNP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

95007210 Issued in CA

Practice address

4200 Farm Hill Blvd
Redwood City, CA 94061-1030

Phone

(650) 306-3100

NPI assigned

Mar 2, 2018

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

Credentials

Master of Science, Registered Nurse

State licenses

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1174025480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CEDAR ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702105",
            "telephone_number": "650-773-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 FARM HILL BLVD",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940611030",
            "telephone_number": "650-306-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "credential": "RN, MS, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95007210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Dawn Skinner, ATC, CMT
• Douglas Slakey, PHD
• Nicholas A Slappey
• Michael Jason Slear
• Smartloss Medicine, Inc.
• Darvin Smith
• David E.C. Smith
• Deborah Schoenlein Smith, RN MS CNS
• Delmar J Smith, PA
• Diana A Smith, MA-CCC,SLP

• Family Medicine Physician in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.