Roberta Colleen Smith, R.N.

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RO48781 Issued in MD

Practice address

6401 York Rd Ste 3
Baltimore, MD 21212-2130

Phone

(410) 887-3432

NPI assigned

Aug 16, 2007

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

Credentials

Nurse Practitioner, 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.

• Baltimore County Department of Health

  • Public Health or Welfare Agency
  • Rosedale, MD
  • NPI 1245385434
  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1407048101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 YORK RD STE 3",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122130",
            "telephone_number": "410-887-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 YORK RD STE 3",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122130",
            "telephone_number": "410-887-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERTA",
        "middle_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MD",
            "license": "RO48781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymona Karen Smith, MD
• Rebecca Smith
• Reena Smith, LCSW-C
• Richard Michael Smith, MD
• Robert James Smith, M.D.
• Roberta Lynn Smith, R.N.
• Rosella Doreen Smith, M.D.
• Ryan Elliott Smith, LGSW
• Ryan Michael Smith, PT, DPT, ATC
• Sara Kathryn Smith, M.D.

• Case Management Registered Nurse in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Case Management Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.