Simroy Smith

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

313750-1 Issued in NY

Practice address

363 Troup St
Rochester, NY 14611-3213

Phone

(585) 705-6766

NPI assigned

Jan 1, 2015

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

State licenses

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

{
    "created_epoch": "1420070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420070400000",
    "number": "1679961411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 TROUP ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146113213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 TROUP ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146113213",
            "telephone_number": "585-705-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SIMROY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-01",
        "last_updated": "2015-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "313750-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Smith, LMFT
• Sharon Smith
• Sheronda Smith, FNP
• Sherrie L Smith, CSW
• Sherry Smith, PNP
• Stacia Terene Smith, RN
• Stephen Michael Smith, MD
• Summer Gabrielle Smith, RN
• Susan O Smith, NP
• Syreeta Deveana Smith, LPN

• Licensed Practical Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.