Individual provider Active NPI

Anna Riziki Moshe-Smith

  • Licensed Vocational Nurse
  • Everett, WA
National Provider Identifier
1588318927
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
LP60958037 Issued in WA
Practice address
11615 Highway 99 Apt C102
Everett, WA 98204-7825
Phone
(253) 326-2771
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X LP60958037 WA Primary

Addresses

Primary practice location

11615 Highway 99 Apt C102
Everett, WA 98204-7825

Mailing address

11615 Highway 99 Apt C102
Everett, WA 98204-7825
Phone (253) 326-2771

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

State licenses

LicenseStateTypeSpecialty
LP60958037WAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1588318927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 HIGHWAY 99 APT C102",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982047825",
            "telephone_number": "253-326-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 HIGHWAY 99 APT C102",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982047825",
            "telephone_number": "253-326-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHE-SMITH",
        "first_name": "ANNA",
        "middle_name": "RIZIKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "WA",
            "license": "LP60958037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

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