Traci Smith, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

778412 Issued in CA

Practice address

50 Beale St
12TH Floor
San Francisco, CA 94105-1813

Phone

(415) 615-5182

Fax

(415) 615-5382

NPI assigned

Jun 28, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Traci Serrao Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• San Francisco Health Authority

  • Health Maintenance Organization
  • San Francisco, CA
  • NPI 1922419266
  NPD (past)

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1700237088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 WONDER OAK CT",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760853640",
            "telephone_number": "415-615-5182",
            "fax_number": "415-615-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BEALE ST",
            "address_2": "12TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941051813",
            "telephone_number": "415-615-5182",
            "fax_number": "415-615-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRACI",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "778412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "SERRAO",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taneille Smith, MFTI
• Taron Smith
• Taylor Smith, M.D.
• Taylor Rae Smith
• Teeya Smith
• Travis Smith, DMD
• Troy Douglas Smith
• Tyson Lane Smith
• Vance La Baron Smith, M.D.
• Vicki Bernin Smith, NP

• Registered Nurse in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.