Tina Yolanda Smith-Warner

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

503551 Issued in NY

Practice address

102 Pacific St
3D
Brooklyn, NY 11201

Phone

(917) 582-3622

NPI assigned

May 18, 2009

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

State licenses

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1417182635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PACIFIC ST",
            "address_2": "3D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "917-582-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PACIFIC ST",
            "address_2": "3D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "917-582-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-WARNER",
        "first_name": "TINA",
        "middle_name": "YOLANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "503551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Smith-Dent
• Shaquille Smith-Harding
• Rebecca Smith-Lateiner, CCC-SLP
• Liana Rita Smith-Murphy, LMSW
• Stephanie Smith-Sullivan, RN
• Adina M Smith, MS PT
• Adonijah Terah Smith, DPT
• Adrian Michelle Smith
• Adrienne Smith, LCSW-R
• Aggie Smith, NP

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.