Active NPI
Reginald Orlanda Smith, BSN,RN, MBA,JD
- Ambulatory Care Registered Nurse
- Gaithersburg, MD
National Provider Identifier
1699097246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- License
- R 0082409
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| R 0082409 | OK | MD | Ambulatory 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.