Peggy Joan Smith, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

085071371RN Issued in OR

Practice address

8401 Old Stage Rd Unit 99
Central Point, OR 97502-9784

Phone

(541) 855-2025

NPI assigned

Apr 1, 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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1235454265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 OLD STAGE RD UNIT 99",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975029784",
            "telephone_number": "541-855-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 OLD STAGE RD UNIT 99",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975029784",
            "telephone_number": "541-855-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PEGGY",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": "085071371RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Guillermo Sibal, PA-C
• Signature Hospice Medford, LLC
• Siskiyou Pacific, Inc.
• Faith Sixkiller
• Kurt Smet, M.S., ATC
• Holly Ann Sorensen
• Patrick Nathan Soriano
• Southern Oregon ABA
• Southern Oregon ABA, LLC
• Southern Oregon Aesthetics and Wellness, LLC

• Community Health Registered Nurse in Central Point, OR
• Providers in Central Point, OR by specialty
• Community Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.