Nicole Smith, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

201608078RN Issued in OR

Practice address

931 NW Viewpoint PL
Hillsboro, OR 97124-3725

Phone

(206) 920-2409

NPI assigned

Jun 7, 2018

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1689167496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14685 SW OSPREY DR APT 1123",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970077964",
            "telephone_number": "206-920-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 NW VIEWPOINT PL",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971243725",
            "telephone_number": "206-920-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "OR",
            "license": "201608078RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Gordon Smith, D.D.S.
• Jeremy Ryan Smith, LMT
• John D Smith, DMD
• Kathleen M Smith, MD
• Mandalyn Smith, PA-C
• Rebecca Nicole Smith, REBECCA SMITH, MD
• Roger Garrett Smith, MD
• Ryan Smith, DDS
• Scot T Smith, MD
• Eric Smotherman

• Pediatric Registered Nurse in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Pediatric Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.