Active NPI
Ramona Nichols Smith, NP
- Family Nurse Practitioner
- Santa Cruz, CA
National Provider Identifier
1295836013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 16566
- Practice address
- 303 Potrero St
Suite 5a
Santa Cruz, CA 95060-2741 - Phone
- (888) 908-0974
- Fax
- (888) 908-0974
- NPI assigned
- Sep 26, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 16566 | CA | Primary |
Addresses
Primary practice location
303 Potrero St
Suite 5a
Santa Cruz, CA 95060-2741
Mailing address
PO Box 3137
Santa Cruz, CA 95063-3137
Phone (888) 908-0974
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340864 | Other | CA | RN |
| ZZZ92069Z | Other | CA | MEDICARE GROUP ID |
| 16566 | Other | CA | CA BOARD OF REGISTERED NU |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16566 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Cruz | Past | Accepting new patients | |
| Puentes Al Sur | Past | Accepting new patients | |
| County of Santa Cruz | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Santa Cruz, CA
- NPI 1659315430
-
- Federally Qualified Health Center (FQHC)
- Watsonville, CA
- NPI 1770709149
-
- Adult Mental Health Clinic/Center
- Watsonville, CA
- NPI 1992849012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1295836013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3137",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950633137",
"telephone_number": "888-908-0974",
"fax_number": "888-908-0974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 POTRERO ST",
"address_2": "SUITE 5A",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950602741",
"telephone_number": "888-908-0974",
"fax_number": "888-908-0974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RAMONA",
"middle_name": "NICHOLS",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "16566",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "340864",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ID",
"identifier": "ZZZ92069Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA BOARD OF REGISTERED NU",
"identifier": "16566",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.