Angel Smith, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN120045-IV Issued in OH

Practice address

5641 Troy Villa Blvd
Huber Heights, OH 45424-2645

Phone

(937) 356-3977

NPI assigned

Sep 30, 2015

Last updated

Sep 30, 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

State licenses

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1629448972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5641 TROY VILLA BLVD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454242645",
            "telephone_number": "937-356-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5641 TROY VILLA BLVD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454242645",
            "telephone_number": "937-356-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANGEL",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN120045-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Maria Simpson, RN
• Sara Simpson, PT, DPT
• Natalie Vasiliki Slade, D.D.S.
• Sleep Better Appliances LLC
• Ursula Smart, STNA
• Braden Smith, DPT
• Carl Smith
• Domonique Smith, RBT
• Ericka Lynn Smith, RN
• Kira Smith

• Licensed Practical Nurse in Huber Heights, OH
• Providers in Huber Heights, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.