Dayna Rosalie Beadel Smith, LPN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

201030327LPN Issued in OR

Practice address

799 N Deerlane Loop
Otis, OR 97368-9677

Phone

(541) 994-7689

NPI assigned

Dec 21, 2010

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

Other names 1

• Dayna Rosalie Burdick-Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1386947950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 N DEERLANE LOOP",
            "city": "OTIS",
            "state": "OR",
            "postal_code": "973689677",
            "telephone_number": "541-994-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 N DEERLANE LOOP",
            "city": "OTIS",
            "state": "OR",
            "postal_code": "973689677",
            "telephone_number": "541-994-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEADEL SMITH",
        "first_name": "DAYNA",
        "middle_name": "ROSALIE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "OR",
            "license": "201030327LPN",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "127745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAYNA",
            "last_name": "BURDICK-SMITH",
            "middle_name": "ROSALIE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Licensed Vocational Nurse in Otis, OR
• Providers in Otis, OR by specialty
• Licensed Vocational Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.