Colleen Smith

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704260182 Issued in MI

Practice address

2794 Thayer Ave
Kalamazoo, MI 49004-1928

Phone

(269) 550-1363

NPI assigned

Sep 19, 2025

Last updated

Sep 19, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

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

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1396617494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 PRAIRIEWOOD CT",
            "city": "OTSEGO",
            "state": "MI",
            "postal_code": "490789321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2794 THAYER AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490041928",
            "telephone_number": "269-550-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COLLEEN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704260182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly M Smith, CRNA
• Cheyenne Smith
• Christopher Perry Smith, M.D.
• Cierra Smith
• Cindi K Smith, MD
• Cristi Smith
• Danell Smith Jr.
• Daniel Smith, ETS
• Deineira Smith
• Delana Smith, RN

• Registered Nurse in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.