Individual provider Active NPI

Sarah Michael Smith, APRN, CNP, PNP

  • Pediatric Nurse Practitioner
  • Oregon City, OR
National Provider Identifier
1477988822
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
96507 Issued in OK
Practice address
1713 Penn LN
Oregon City, OR 97045-1592
Phone
(503) 655-7725
NPI assigned
Sep 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 96507 OK Primary

Addresses

Primary practice location

1713 Penn LN
Oregon City, OR 97045-1592

Mailing address

1713 Penn LN
Oregon City, OR 97045-1592
Phone (503) 655-7725

Other practice location 1

1200 Everett Dr
Everett Tower North Pavillion 7504
Oklahoma City, OK 73104-5047
Phone (405) 271-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
96507OKMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Center Pediatrics PastSince Apr 3, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1477988822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 PENN LN",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451592",
            "telephone_number": "503-655-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 PENN LN",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451592",
            "telephone_number": "503-655-7725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Everett Dr",
            "address_2": "Everett Tower North Pavillion 7504",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045047",
            "country_code": "US",
            "telephone_number": "405-271-0777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SARAH",
        "middle_name": "MICHAEL",
        "credential": "APRN, CNP, PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OK",
            "license": "96507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.