Pamela Smith

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

1847 Brookmoor CT NE
Grand Rapids, MI 49505-7405

Phone

(616) 364-1893

NPI assigned

Sep 16, 2015

Last updated

Sep 16, 2015By the provider in NPPES

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

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1619346939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1847 BROOKMOOR CT NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495057405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 BROOKMOOR CT NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495057405",
            "telephone_number": "616-364-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PAMELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas David Smith, M.S.P.T.
• Nichole Amber Smith
• Nicole Smith
• Nicole Marie Smith, M.S. CCC-SLP
• Olivia X Smith
• Pamela Parish Smith, MS RD
• Quinlan Anne Smith
• Rachel Hunter Smith, NP
• Rachel Lynn Smith, CRNA
• Rajaida Smith

• Homemaker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Homemaker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.