Heather Smith

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

R49483 Issued in NM

Practice address

12555 Hwy 14 N
Sandia Park, NM 87047-9308

Phone

(505) 281-3931

NPI assigned

Nov 30, 2018

Sex

Female

Sole proprietor

No

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, last updated by the provider on Nov 30, 2018.

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1245700475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 HWY 14 N",
            "city": "SANDIA PARK",
            "state": "NM",
            "postal_code": "870479308",
            "telephone_number": "505-281-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 HWY 14 N",
            "city": "SANDIA PARK",
            "state": "NM",
            "postal_code": "870479308",
            "telephone_number": "505-281-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "R49483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Michelle Parker, OTL/R
• Nina Pregont, D.N.
• Marisa Elizabeth Rivera
• Pamela Rothe, RN, BSN
• Sean Hearn MD LLC
• Kristy R Staten, O.T.
• Support Is Apparent, LLC
• Mark Richard Swinney, CSB
• Theraplay
• Anna Ferris Vargas, M.S.

• All providers in Sandia Park, NM
• School Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.