Rebecca Marie Smith, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2002018677 Issued in MO

Practice address

12328 Inletridge Dr Apt B
Maryland Heights, MO 63043-2070

Phone

(314) 749-1506

NPI assigned

Feb 24, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Myriad Medical Testing Solutions LLC

  • Clinic/Center
  • Maryland Heights, MO
  • NPI 1215683537
  NPD Authorized official
• Holistic Homecare LLC

  • Home Health Agency
  • Maryland Heights, MO
  • NPI 1780226621
  NPD

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1477209799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12328 INLETRIDGE DR APT B",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432070",
            "telephone_number": "314-749-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12328 INLETRIDGE DR APT B",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432070",
            "telephone_number": "314-749-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MO",
            "license": "2002018677",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2002018677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Renee Sigona, OTRL
• Connie D Simmons, M.D.
• Mariah Rose Sindel, SLPA
• Jeanie Skiff, CPHT
• Kayla Skinner, PHD
• Eric Snyder, D.D.S.
• Ryan Bradley Sondergard, D.O.
• Karen Michelle Spengel, LPC
• Spinal Care Concepts, P.C.
• Tiffany Spudich, PHARM.D.

• Registered Nurse in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.