Reesa Smith, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

77642 Issued in NC

Practice address

991 W Hudson Blvd
Gastonia, NC 28052-6430

Phone

(704) 853-5464

NPI assigned

Nov 15, 2013

Last updated

Nov 15, 2013By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1700216413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 RANDOLPH RD",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "280349630",
            "telephone_number": "704-813-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 W HUDSON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280526430",
            "telephone_number": "704-853-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REESA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "77642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Lynn Smith, LCSW
• Maelonda Smith
• Mahagony Smith
• Mallory Smith, LCMHCA
• Nicholas Daniel Smith
• Rodney Wilson Smith, M.D.
• Shameka Rachelle Smith
• Sharlene T Smith, PHD., MBA, MSIT
• Sharon Annette Smith, PA-C
• Steven Allan Smith, M.D.

• Licensed Practical Nurse in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.