Glenda L Smith, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1073428 Issued in AL

Practice address

203 W Lee St
Tuskegee, AL 36083-1719

Phone

(334) 727-7050

Fax

(334) 727-6284

NPI assigned

Feb 6, 2008

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

Other names 1

• Glenda L Smith Professional name

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": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1497933980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WEST LEE ST",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "36083",
            "telephone_number": "334-727-7050",
            "fax_number": "334-727-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W LEE ST",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360831719",
            "telephone_number": "334-727-7050",
            "fax_number": "334-727-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GLENDA",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1073428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLENDA",
            "last_name": "SMITH",
            "middle_name": "L",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jakia Sherrell-Thompson, LGSW
• Taylor Breona Shine, LMSW
• Georgia Mae Simpson, RN
• Devan Smiley
• Betsy Smith, MS, RD, LD
• Leilani Smith, LGSW
• Nguyet H Smith, PHARM.D.
• Shari Smith, LGSW
• Xavier Markies Smith, LMSW
• Eileen M Sordo, PHARMD

• Pediatric Nurse Practitioner in Tuskegee, AL
• Providers in Tuskegee, AL by specialty
• Pediatric Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.