Sonja Renee Smith, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN051921 Issued in GA

Practice address

1008 Cobblestone Blvd
Stockbridge, GA 30281-7315

Phone

(770) 507-6380

NPI assigned

Jun 7, 2008

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": "1212796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212796800000",
    "number": "1457510109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 COBBLESTONE BLVD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817315",
            "telephone_number": "770-507-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 COBBLESTONE BLVD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817315",
            "telephone_number": "770-507-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SONJA",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-07",
        "last_updated": "2008-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN051921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyra Smith
• Nicole L Smith, NP
• Paul Andrew Smith, DMD
• Peter E Smith, D.P.M.
• Rebecca Anne Smith, CPNP
• Taschovia Smith, LPC, MAC, CCDP-D
• Tiara Smith
• Aderinsola Jesuloluwa Sodiya, OTR/L
• Yoojin Sohn
• Solace Minds Mental Health

• Licensed Practical Nurse in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.