Peggy Smith, ARNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

AP30006542 Issued in WA

Practice address

5861A Kamiakin TRL
Fairchild Afb, WA 99011-2216

Phone

(509) 247-4564

NPI assigned

Oct 7, 2005

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619965399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5861A KAMIAKIN TRL",
            "city": "FAIRCHILD AIR FORCE BASE",
            "state": "WA",
            "postal_code": "990112216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5861A KAMIAKIN TRL",
            "city": "FAIRCHILD AFB",
            "state": "WA",
            "postal_code": "990112216",
            "telephone_number": "509-247-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PEGGY",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP30006542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wandalyz Rivera de Jesus, MSW
• Kerilyn Shigihara, IDMT
• Robert Michael Siebenaler, IDMT
• Camilla Deann Smith, RN
• Michael Benjamin Smith, PA-C
• Ariel Kaye Soderberg, LMT
• Gene J Sonnenburg Jr., IDMT
• George Walker Stayer, MD
• Michael Thomas Stevens
• Ruth Ann Sunde, LICSW

• Women's Health Nurse Practitioner in Fairchild Afb, WA
• Providers in Fairchild Afb, WA by specialty
• Women's Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.