Cheryl Leslie Smith, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN00117182 Issued in WA

Practice address

2395 Black Diamond Rd
Port Angeles, WA 98363-9442

Phone

(360) 461-2254

NPI assigned

Dec 10, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1295070720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 BLACK DIAMOND RD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983639442",
            "telephone_number": "360-461-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 BLACK DIAMOND RD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983639442",
            "telephone_number": "360-461-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHERYL",
        "middle_name": "LESLIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00117182",
            "primary": true
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "WA",
            "license": "RN00117182",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Forrest Slack, CRNA
• Jennifer Frances Smith-Grady, ARNP
• Adam Edward Smith
• Brianna Smith
• Cassandra Ann Smith
• Danielle Smith
• Janice Smith, COUNSELOR
• Jeff David Smith, MAC
• Jennifer M Smith
• Marissa Smith, RN

• Registered Nurse in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Registered Nurse in Washington

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