Fredrica E. Smith, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

NM7369 Issued in NM

Legal business name

FREDRICA E. SMITH, M.D.

Practice address

3917 West Rd
Suite D
Los Alamos, NM 87544-2275

Phone

(505) 662-9400

Fax

(505) 662-3148

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fredrica E Smith, M.D.NPI 1780663369

Title

Physician

Phone

(505) 662-9400

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fredrica E Smith, MD

  • Rheumatology Physician
  • Los Alamos, NM
  • NPI 1780663369
  NPD (past) Authorized official

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1619150323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 WEST RD",
            "address_2": "SUITE D",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442275",
            "telephone_number": "505-662-9400",
            "fax_number": "505-662-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 WEST RD",
            "address_2": "SUITE D",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442275",
            "telephone_number": "505-662-9400",
            "fax_number": "505-662-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDRICA E. SMITH, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "FREDRICA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "505-662-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NM",
            "license": "NM7369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26005",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann K Ferris, M.D.
• Kenny Fields
• First Los Alamos Care
• Caitlin Fischer
• Founders Healthcare, LLC
• Rhonda Freeman-Maze, LPC
• Corbin A Freeman
• Catherine Ann Fry, RPH
• Mikaela Galindo
• Esperanza L Garcia

• Rheumatology Physician in Los Alamos, NM
• Providers in Los Alamos, NM by specialty
• Rheumatology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.