Nicholas R Smith, RN

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

R47757 Issued in ND

Practice address

418 E Rosser Ave Ste 104
Bismarck, ND 58501-4046

Phone

(701) 204-2971

NPI assigned

Jan 9, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthy Minds Therapy PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bismarck, ND
  • NPI 1629768221
  Authorized official Same address or phone

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1659142792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 EDGERLY LN",
            "city": "LINCOLN",
            "state": "ND",
            "postal_code": "585049234",
            "telephone_number": "701-204-2971",
            "fax_number": "701-751-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E ROSSER AVE STE 104",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014046",
            "telephone_number": "701-204-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICHOLAS",
        "middle_name": "R",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "ND",
            "license": "R47757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy O Smith, LBSW
• Jessica L Smith, OT
• Kelsey Smith
• Lori Lynn Smith, RD/LD
• Megan Elizabeth Smith, OTRL
• Shayla Smith
• Stuart T Smith, MD
• Travis Smith
• Kevyn Marie Smitherman, DNP, APRN, FNP-BC
• Brittany Snustad, MD

• Infusion Therapy Registered Nurse in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Infusion Therapy Registered Nurse in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.