Patricia Ann Smith, R.N.WCC

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

26NO06026100 Issued in NJ

Practice address

2475 McClellan Ave
Pennsauken, NJ 08109-4683

Phone

(856) 675-3355

Fax

(856) 675-3686

NPI assigned

Aug 13, 2012

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

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.

• Life at Lourdes Inc

  • PACE Provider Organization
  • Pennsauken, NJ
  • NPI 1063662187
  NPD (past)
• Lourdes Cardiology Services, P.C.

  • Cardiovascular Disease Physician
  • Cherry Hill, NJ
  • NPI 1912202557
  NPD (past)

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1487901161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 MCCLELLAN AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094683",
            "telephone_number": "856-675-3355",
            "fax_number": "856-675-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 MCCLELLAN AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094683",
            "telephone_number": "856-675-3355",
            "fax_number": "856-675-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "R.N.WCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NJ",
            "license": "26NO06026100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amaya Jae Simmons
• SLM Mobile Phlebotomy LLC
• Lasandra Smalley, LPN
• Marie M Smedile, COTA
• Herbert Smith, LPN
• Ji Yeong Son, PHARMD
• South Jersey Behavioral Health Resources
• South Jersey Behavioral Health Resources, Inc.
• South Jersey Behavioral Health Resources, Inc.
• South Jersey Primary Care Physicians & Rehabilitation Center P.C.

• Wound Care Registered Nurse in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• Wound Care Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.