George Smith, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A068089 Issued in IA

Practice address

515 Pacific Ave
Audubon, IA 50025-1052

Phone

(712) 563-2611

Fax

(712) 563-3078

NPI assigned

Apr 10, 2006

Last updated

Dec 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• All Care Health Center

  • Community/Retail Pharmacy
  • Council Bluffs, IA
  • NPI 1124461363
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1316900319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 PACIFIC AVE",
            "city": "AUDUBON",
            "state": "IA",
            "postal_code": "500251052",
            "telephone_number": "712-563-2611",
            "fax_number": "712-563-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PACIFIC AVE",
            "city": "AUDUBON",
            "state": "IA",
            "postal_code": "500251052",
            "telephone_number": "712-563-2611",
            "fax_number": "712-563-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GEORGE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A068089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0433698",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Ann Riesberg, ARNP
• Rocky Mountain Holdings, LLC (LifeFlight)
• Mindi Jo Rotert, LMSW
• Paul Richard Schultz, DDS
• Shopko Stores Operating Co LLC (Shopko Pharmacy 683)
• Terry L Sprague, DO
• Jon Swanson, D.O., PH.D.
• T L Sprague DO PC (Audubon Medical Clinic)
• Touching Lives Center, LLC
• Stephanie Vampola-Runyan, D.O.

• Nurse Practitioner in Audubon, IA
• Providers in Audubon, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.