Carol Smith, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

RN0000028175 Issued in MS

Practice address

9075 Sandidge Center Cove
Olive Branch, MS 38654

Phone

(662) 895-4949

Fax

(662) 895-6776

NPI assigned

Oct 18, 2005

Last updated

Apr 9, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1306835806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 EDEN BROOK LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38108",
            "telephone_number": "901-757-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9075 SANDIDGE CENTER COVE",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "38654",
            "telephone_number": "662-895-4949",
            "fax_number": "662-895-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "RN0000028175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katashia Singleton
• Melissa Verkler Slade, MOT,OTR/L
• Smiley Physical Therapy LLC
• Susan Smiley, MPT
• Aaron Douglas Smith
• Carri Smith, PHARM D
• Julia Lynn Smith, FNP
• Kenyecta D Smith, P-LPC
• Lisa Ann Smith, LCSW
• Marsheka Varcha Smith, RN

• Family Medicine Physician in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.

Verify at the official NPI Registry.