Individual provider Active NPI

Reginald Orlanda Smith, BSN,RN, MBA,JD

  • Ambulatory Care Registered Nurse
  • Gaithersburg, MD
National Provider Identifier
1699097246
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
R 0082409 Issued in OK
Practice address
15705 Mahogany Cir Apt 103
Gaithersburg, MD 20878-4646
Phone
(240) 453-6081
NPI assigned
Feb 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X R 0082409 OK Primary

Addresses

Primary practice location

15705 Mahogany Cir Apt 103
Gaithersburg, MD 20878-4646

Mailing address

15705 Mahogany Cir Apt 103
Gaithersburg, MD 20878-4646
Phone (240) 453-6081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Juris Doctor, Master of Business Administration, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R 0082409OKMDAmbulatory Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1699097246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15705 MAHOGANY CIR APT 103",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208784646",
            "telephone_number": "240-453-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15705 MAHOGANY CIR APT 103",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208784646",
            "telephone_number": "240-453-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REGINALD",
        "middle_name": "ORLANDA",
        "name_prefix": "Mr.",
        "credential": "BSN,RN, MBA,JD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "OK",
            "license": "R 0082409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.