Camilla Deann Smith, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN61236318 Issued in WA

Practice address

400 Fairchild St
Fairchild AFB, WA 99011-2088

Phone

(509) 565-3607

Fax

(509) 565-3601

NPI assigned

Aug 12, 2024

Sex

Female

Sole proprietor

No

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": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1255162244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7953 WYOMING AVE",
            "city": "FAIRCHILD AFB",
            "state": "WA",
            "postal_code": "990112088",
            "telephone_number": "316-300-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FAIRCHILD ST",
            "city": "FAIRCHILD AFB",
            "state": "WA",
            "postal_code": "990112088",
            "telephone_number": "509-565-3607",
            "fax_number": "509-565-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAMILLA",
        "middle_name": "DEANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "RN61236318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allan L Rhoads, O.D. (OPTOMETRIST)
• Montana Renee Rickey, PHARM. D
• Wandalyz Rivera de Jesus, MSW
• Kerilyn Shigihara, IDMT
• Robert Michael Siebenaler, IDMT
• Michael Benjamin Smith, PA-C
• Peggy Smith, ARNP
• Ariel Kaye Soderberg, LMT
• Gene J Sonnenburg Jr., IDMT
• George Walker Stayer, MD

• School Registered Nurse in Fairchild Afb, WA
• Providers in Fairchild Afb, WA by specialty
• School Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.