Georgia Smile

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

635946 Issued in NY

Practice address

12 W Lakeland St
Bay Shore, NY 11706-2622

Phone

(631) 682-2576

NPI assigned

Dec 31, 2010

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

State licenses

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

{
    "created_epoch": "1293753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293753600000",
    "number": "1205130580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W LAKELAND ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062622",
            "telephone_number": "631-682-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W LAKELAND ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062622",
            "telephone_number": "631-682-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILE",
        "first_name": "GEORGIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-31",
        "last_updated": "2010-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "635946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Alex Skrokov, M.D.
• Joseph Michael Skrzypek, PT, DPT, ATC, CSCS
• Argirios Skulikidis, MD
• Pantelis Skulikidis, FNP
• Michelle Slattery
• Hannah Paige Smith, PA-C
• Katherine Elizabeth Smith
• Kharisma Angella Smith
• Kyle Matthew Smith, DO
• Megan Smith, RD

• Registered Nurse in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2010; 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.