Marguerite Jean Smith, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

79042695 Issued in OR

Practice address

33 N Central Ave
Suite 425
Medford, OR 97501-5900

Phone

(541) 779-5877

Fax

(541) 664-3287

NPI assigned

Dec 3, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• MB Healthcare Associates Inc

  • Specialist
  • Medford, OR
  • NPI 1568568707
  NPD (past) Authorized official

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

{
    "created_epoch": "1133568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1417931395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 965",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010069",
            "telephone_number": "541-779-5877",
            "fax_number": "541-664-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 N CENTRAL AVE",
            "address_2": "SUITE 425",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975015900",
            "telephone_number": "541-779-5877",
            "fax_number": "541-664-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARGUERITE",
        "middle_name": "JEAN",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-03",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "79042695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276809",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Ann Smith, LPC, NCC
• Kelley Ann Smith, CADC I, CRM
• Kirk Macdonald Smith, MS, FNP
• Lauren Smith
• Lonnie Gene Smith, LMT, BS
• Matthew Thomas Smith, PA
• Rebecca Smith
• Sara Anne Smith, RN
• Susan E Smith, MD
• Tiffany Smith, PA

• Adult Health Nurse Practitioner in Medford, OR
• Providers in Medford, OR by specialty
• Adult Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.