Adrienne Denise Smith, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703091482 Issued in MI

Practice address

2031 Parkdale Dr
Port Huron, MI 48060-6887

Phone

(231) 578-8945

NPI assigned

Jan 9, 2023

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

State licenses

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1487368106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 PARKDALE DR",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606887",
            "telephone_number": "231-578-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 PARKDALE DR",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606887",
            "telephone_number": "231-578-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ADRIENNE",
        "middle_name": "DENISE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703091482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Anne Slease
• Marsha Falk Smeltzer, D.D.S.
• Karli Smeznik, PA-C
• Rene Smit, M.D.
• Smith Chiropractic Clinic of Blue Water Area, PLLC
• Amanda Smith
• Amy Sue Smith, LMSW
• Andrea Lynn Smith, LLMSW
• Brian Darrell Smith
• Camilla Smith

• Licensed Practical Nurse in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.