Pamela Sue Smith

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6583183-4405 Issued in UT

Practice address

564 S Saddle Rd
Grantsville, UT 84029-5556

Phone

(435) 224-3124

NPI assigned

Sep 18, 2023

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

Other names 1

• Pamela Sue Smith Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: smith.pamela.1@12395.direct.athenahealth.com

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1346028693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 S SADDLE RD",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "840295556",
            "telephone_number": "435-224-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 S SADDLE RD",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "840295556",
            "telephone_number": "435-224-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "6583183-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "SMITH",
            "middle_name": "SUE",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Abigail Shelley
• Chelsea Sheppard
• Elaine S Shrewsbury, LCSW
• Sleep Institute of Utah LC
• Aaliyah Smith
• Dana Snyder
• Preston Sorensen, MSW-I
• Spectrum Eye Care, LLC (Spectrum Eye Care)
• Marissa Stephens
• Shyan Stilinovich

• Family Nurse Practitioner in Grantsville, UT
• Providers in Grantsville, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.