Michael Stephen Smith, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

49188 Issued in WV

Practice address

611 McClung Ave
Barboursville, WV 25504-1956

Phone

(304) 736-1654

NPI assigned

Dec 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1598948028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 MCCLUNG AVE",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041956",
            "telephone_number": "304-736-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 MCCLUNG AVE",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041956",
            "telephone_number": "304-736-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WV",
            "license": "49188",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "KY",
            "license": "1102771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katlyn Smith
• Kayla Smith
• Khiana Smith
• Laura Witten Smith
• McKayla Smith
• Michele Smith
• Natalie Smith
• Olivia Smith
• Rachael Smith
• Raven Smith

• General Practice Registered Nurse in Barboursville, WV
• Providers in Barboursville, WV by specialty
• General Practice Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.