Shirley L Smith, RN APN

Primary specialty

College Health Registered NurseTaxonomy code 163WC1400X

License

26NO04975600 Issued in NJ

Practice address

285 Madison Ave
M-We0-01 Student Health
Madison, NJ 07940

Phone

(973) 443-8535

Fax

(973) 443-8174

NPI assigned

Aug 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1356531669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 MADISON AVE",
            "address_2": "M-WE0-01 STUDENT HEALTH",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "07940",
            "telephone_number": "973-443-8535",
            "fax_number": "973-443-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 MADISON AVE",
            "address_2": "M-WE0-01 STUDENT HEALTH",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "07940",
            "telephone_number": "973-443-8535",
            "fax_number": "973-443-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHIRLEY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RN APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "NJ",
            "license": "26NO04975600",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN04975600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SJV 1 Madison Opco LLC (Sunrise of Madison)
• SJV 1 Madison Opco LLC (Sunrise of Madison)
• Jillian Slater
• Alice Smarsh, PT
• Joanna M Smith, LCSW
• Michelle Solino
• Solutions for Stress
• Jacqueline Ann Sowinski Hamlett, LPC
• Stacy Spratley
• Jenifer Harris Stein, R.D.

• College Health Registered Nurse in Madison, NJ
• Providers in Madison, NJ by specialty
• College Health Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.