Lisa L Smith, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN247705 Issued in OH

Practice address

8684 Sunset Valley Ave NW
Canal Fulton, OH 44614-9619

Phone

(330) 854-0240

NPI assigned

Jun 4, 2010

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1548580277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8684 SUNSET VALLEY AVE NW",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446149619",
            "telephone_number": "330-854-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8684 SUNSET VALLEY AVE NW",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446149619",
            "telephone_number": "330-854-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LISA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN247705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Kay Rollins, RPH
• Pamela A Rucki, M.D.
• Denise Y Sees
• Greg Joseph Shoemaker, CDCA
• Shrivers Pharmacy Eldercare Solutions, Inc (Eldercare Solutions Shrivers Pharmacy)
• Shannon Dawn Smith, MA CCC-SLP
• Ashley Joy Snider
• Elora M Spino, NP
• Jade Aurora Storesina
• Amy Jo Sutterluety, ACSM-CEP

• Registered Nurse in Canal Fulton, OH
• Providers in Canal Fulton, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.