Latesha Evyette Smith, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9173669 Issued in FL

Practice address

5530 Wiley St
Hollywood, FL 33021-8033

Phone

(954) 774-5145

NPI assigned

Sep 20, 2023

Last updated

Sep 20, 2023By the provider in NPPES

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1427836386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WILEY ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218033",
            "telephone_number": "954-774-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WILEY ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218033",
            "telephone_number": "954-774-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LATESHA",
        "middle_name": "EVYETTE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9173669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donella Smith
• Iesha Smith
• Janelle Smith, PHARMD
• Jasmyn Smith, RBT
• Julia Smith, CAA
• Marvin Khalid Smith, MD
• Michelle Sofia Smith, MD
• Peter Lloyd Smith II, MS PT
• Rachel A Smith, MS, LMFT
• Robert Terry Smith, MEDICAL DOCTOR

• Registered Nurse in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.