Danielle Smith, REGISTERED NURSE
Individual provider Active NPI Home Health Registered Nurse · Coila, MS
NPI 1457098709 · NPPES record last updated May 18, 2022
Key facts
- NPI
- 1457098709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 918871 (MS)
- Practice address
- 19186 Ms Highway 17
Coila, MS 38923-9691 - Phone
- (662) 897-8633
- NPI assigned
- May 18, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 918871 | MS | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Home Health Registered Nurse | 163WH0200X | 918871 | MS | Yes |
Addresses
Primary practice location
19186 Ms Highway 17
Coila, MS 38923-9691
Mailing address
19186 Ms Highway 17
Coila, MS 38923-9691
Phone (662) 897-8633
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.