Nathan Raymond Smith

Primary specialty

Chore ProviderTaxonomy code 372500000X

Practice address

69 Woodlawn Ave
Kittery, ME 03904-1257

Phone

(207) 994-3917

NPI assigned

Apr 28, 2022

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1316682909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 WOODLAWN AVE",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039041257",
            "telephone_number": "207-994-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 WOODLAWN AVE",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039041257",
            "telephone_number": "207-994-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NATHAN",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David W Seaton, O.D.
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• James Shea, PT
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• Rae Lynn Stackpoole, OTR/L
• John Barron Stallman II, PA-C
• Jonathan David Sterns II, MD, MPH
• Carlene Moran Stillson, FNP

• Chore Provider in Kittery, ME
• Providers in Kittery, ME by specialty
• Chore Provider in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.