Active NPI
Allicia Anne Smith, LPN
- Licensed Practical Nurse
- Flowood, MS
National Provider Identifier
1285939629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- P325545
- Practice address
- 1088 Flynt Dr
Flowood, MS 39232-8886 - Phone
- (601) 932-8064
- NPI assigned
- Jan 16, 2011
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | P325545 | MS | Primary |
Addresses
Primary practice location
1088 Flynt Dr
Flowood, MS 39232-8886
Mailing address
5936 Castle Dr
Milton, FL 32570-8711
Phone (601) 559-7662
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P325545 | MS | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295136000000",
"number": "1285939629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5936 CASTLE DR",
"city": "MILTON",
"state": "FL",
"postal_code": "325708711",
"telephone_number": "601-559-7662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1088 FLYNT DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392328886",
"telephone_number": "601-932-8064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ALLICIA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-16",
"last_updated": "2011-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MS",
"license": "P325545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.