Matthew L Smith, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R26377 Issued in NM

Practice address

1060 Cerrillos Rd
Santa Fe, NM 87505-1650

Phone

(505) 476-6410

NPI assigned

Oct 29, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1285101246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 CERRILLOS RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051650",
            "telephone_number": "505-476-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 CERRILLOS RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051650",
            "telephone_number": "505-476-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-29",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "291816",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R26377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36672548",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacee Danielle Smith
• Janet L Smith, CFNP
• Joseph M. Smith III, MD
• Leanne Barbara Smith, RPH
• Marilym Smith
• Melissa Marie Smith
• Michelle Smith
• Morgan Alexandra Smith, PMHNP
• Patricia Smith, R.N.
• Sally Anne Smith, FNP

• Registered Nurse in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.