Tani Smith

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP60172982 Issued in WA

Practice address

1265 SW Pacific Ave
Chehalis, WA 98532-3624

Phone

(360) 807-7245

NPI assigned

Feb 10, 2015

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)

Not enrolled

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 and National Provider Directory roles.

• Centralia School District #401

  • Local Education Agency (LEA)
  • Centralia, WA
  • NPI 1750310405
  NPD (past)
• Chehalis School District

  • Local Education Agency (LEA)
  • Chehalis, WA
  • NPI 1073542726
  NPD (past)

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1356732507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 SW PACIFIC AVE",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323624",
            "telephone_number": "360-807-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 SW PACIFIC AVE",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985323624",
            "telephone_number": "360-807-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP60172982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Elana Smazik
• Brenda Smith, OTR-L
• Jalene Smith, LMP
• Molly Smith, ARNP
• Richard Dewayne Smith Jr., D.D.S.
• Charlotte Marie Smyth, B.A.
• Jordan Snell, D.O.
• Kristen Marie Snyder, CG60913281
• Barbara J Sonnenberg, RN
• Jana Sorsen

• Licensed Practical Nurse in Chehalis, WA
• Providers in Chehalis, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.