Active NPI
Lori Diane Smith, RN
- School Registered Nurse
- College Place, WA
National Provider Identifier
1255808663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- RN00131154
- Practice address
- 1755 S College Ave
College Place, WA 99324-1771 - Phone
- (509) 525-4827
- NPI assigned
- Oct 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN00131154 | WA | Primary |
Addresses
Primary practice location
1755 S College Ave
College Place, WA 99324-1771
Mailing address
1755 S College Ave
College Place, WA 99324-1771
Phone (509) 525-4827
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN00131154 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00131154 | WA | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1255808663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 S COLLEGE AVE",
"city": "COLLEGE PLACE",
"state": "WA",
"postal_code": "993241771",
"telephone_number": "509-525-4827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 S COLLEGE AVE",
"city": "COLLEGE PLACE",
"state": "WA",
"postal_code": "993241771",
"telephone_number": "509-525-4827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LORI",
"middle_name": "DIANE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "WA",
"license": "RN00131154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN00131154",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in College Place, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.