Brian Matthew Smith, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

N34646 Issued in ID

Practice address

444 Hospital Way
Suite 801
Pocatello, ID 83201-2745

Phone

(208) 232-6214

Fax

(208) 233-3416

NPI assigned

Jan 30, 2007

Sex

Male

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1255477659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 SHASTA ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012223",
            "telephone_number": "208-238-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 HOSPITAL WAY",
            "address_2": "SUITE 801",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012745",
            "telephone_number": "208-232-6214",
            "fax_number": "208-233-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRIAN",
        "middle_name": "MATTHEW",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "N34646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jora Sliwinski-Heath, PHARMD
• SM Maloff MD PC
• Smilemakers Dental of Pocatello PLLC
• Smilemakers of Pocatello, PLLC
• Barry M Smith, D.C.
• Caleb Smith
• Deanna Sue Smith, LCSW
• Edward Gregory Smith, M.S., CCC-A
• Jessie Dean Smith, D.C.
• Joel C Smith, DDS

• Registered Nurse in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Registered Nurse in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.