Victor Nordine Smith

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

8787 Salt Grass Dr
Pensacola, FL 32526-3262

Phone

(850) 503-6090

NPI assigned

Oct 16, 2007

Last updated

Apr 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1609065606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 SALT GRASS DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325263262",
            "telephone_number": "850-503-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 SALT GRASS DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325263262",
            "telephone_number": "850-503-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "VICTOR",
        "middle_name": "NORDINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690447898",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690437896",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan L Smith, MD
• Terri Barnes Smith, RPH
• Tia Kay Smith
• Tyler Smith
• Tyneal Smith, FNP
• Wheeler Joseph Smith, DO
• William Edgar Smith Jr., MD
• Savanna Kay-Ella Smola, CNM
• John Anthony Smyrski III, MD
• Katrina Lea Ann Snider

• Community Health Worker in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.