Candi Smith, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-36453 Issued in ND

Practice address

1321 Goldenwood Dr
West Fargo, ND 58078-3958

Phone

(701) 866-6602

NPI assigned

Jan 31, 2023

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": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1265138457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 GOLDENWOOD DR",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783958",
            "telephone_number": "701-866-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 GOLDENWOOD DR",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783958",
            "telephone_number": "701-866-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CANDI",
        "name_prefix": "Mrs.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "ND",
            "license": "L-36453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Slama
• Ortheta Jarba Sluwar
• Patricia K Slyter, NP
• Andrew Smith
• Antionette Smith
• Elise Smith, RD
• Kimberly Soderholm, PT
• Lesley A Soine, MD
• Aaron Ross Sorvig, PT
• Joshua Sorvig, DPT

• Lactation Consultant (Registered Nurse) in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Lactation Consultant (Registered Nurse) in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.