Marion Elizabeth Smith, ARNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

NP-1236A Issued in ID

Practice address

1630 23Rd Ave
Lewiston, ID 83501-6350

Phone

(208) 746-7784

Fax

(208) 798-8652

NPI assigned

May 8, 2013

Last updated

May 8, 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)

Enrolled

State licenses

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1700221363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 CONESTOGA ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432436",
            "telephone_number": "208-596-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 23RD AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016350",
            "telephone_number": "208-746-7784",
            "fax_number": "208-798-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARION",
        "middle_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ID",
            "license": "NP-1236A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Grace Simpson, RN,CBS
• Sjrmc Interventional Radiology Services LLC
• Selena Leanne Skolrud, MS, SLPCF
• Barry A. Smith, D.O.
• Hannah Lorae Smith, BS
• Phillip Smith
• Sadie Ann Smith, LMT
• Saydee Marie Smith
• Theresa M Smith, FNP
• Snake River Community Clinic

• Primary Care Nurse Practitioner in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Primary Care Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.