Nikkisha Nicole Smith, PHD, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-316403 Issued in FL

Practice address

5200 NW 187TH LN
Miami Gardens, FL 33055-2370

Phone

(954) 559-3767

NPI assigned

Dec 30, 2024

Sex

Female

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

Credentials

Doctor of Philosophy, Registered Nurse

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.

• Thrive Lactation Center

  • Lactation Consultant (Registered Nurse)
  • Fort Myers, FL
  • NPI 1043987712
  NPD (past)

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1386452829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 NW 187TH LN",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552370",
            "telephone_number": "954-559-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 NW 187TH LN",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552370",
            "telephone_number": "954-559-3767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10600 Chevrolet Way Ste 105",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "339284421",
            "country_code": "US",
            "telephone_number": "813-291-4695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NIKKISHA",
        "middle_name": "NICOLE",
        "credential": "PHD, RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "FL",
            "license": "L-316403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anitra Smith
• Antwan Smith
• Betty Smith, RN
• Catherine Smith
• Nicholas Damon Smith
• Racquel Y Smith, LCSW
• Simona Smith
• Susanna W Smith, MS-MHC
• Tianna Smith, M.S.
• Brittaney Snyder

• Lactation Consultant (Registered Nurse) in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Lactation Consultant (Registered Nurse) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.