Active NPI
Nadine A Smith, NP
- Psychiatric/Mental Health Nurse Practitioner
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 60717374
- Practice address
- 4400 NE 77TH Ave Ste 275
Vancouver, WA 98662-6857 - Phone
- (360) 567-8466
- Fax
- (660) 951-7859
- NPI assigned
- Aug 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201703459NP-PP | OR | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | C-APN.0003490-C-NP | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 60717374 | WA | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP95001782 | CA | |
| Women's Health Nurse Practitioner | 363LW0102X | R146902 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R146902 | MD |
Addresses
Primary practice location
4400 NE 77TH Ave Ste 275
Vancouver, WA 98662-6857
Mailing address
4400 NE 77TH Ave Ste 275
Vancouver, WA 98662-6857
Phone (360) 567-8466
Other practice location 1
7100 Guilford Dr # 2071
Frederick, MD 21704-5257
Phone (360) 567-8466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95001782 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
| C-APN.0003490-C-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
| R146902 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
| 201703459NP-PP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
| 60717374 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Single Specialty | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Rainier Springs Physician Group, LLC | Single Specialty | Current | Accepting new patients |
| Magnolia Psychiatric Services PLLC | Single Specialty | Past | Accepting new patients |
Locations
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
500 NE Multnomah St
Portland, OR 97232
Phone (503) 813-4939
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
2805 NE 129th St
Vancouver, WA 98686
Phone (360) 356-1890
Organizations & group practices 4
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.
-
- Neurology Physician
- Vancouver, WA
- NPI 1306321237
Single Specialty
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Single Specialty, WA
-
- Psychiatric/Mental Health Nurse Practitioner
- Frederick, MD
- NPI 1417423989
Single Specialty
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1205082062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 NE 77TH AVE STE 275",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626857",
"telephone_number": "360-567-8466",
"fax_number": "660-951-7859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 NE 77TH AVE STE 275",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626857",
"telephone_number": "360-567-8466",
"fax_number": "660-951-7859"
}
],
"practiceLocations": [
{
"address_1": "7100 Guilford Dr # 2071",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217045257",
"country_code": "US",
"telephone_number": "360-567-8466",
"fax_number": "660-951-7859",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "NADINE",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-13",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "201703459NP-PP",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "C-APN.0003490-C-NP",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "60717374",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "NP95001782",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MD",
"license": "R146902",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R146902",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.