James E Smith, RN
Individual provider Active NPI Registered Nurse · Mescalero, NM
NPI 1720171333 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1720171333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 76791 (NM)
- Practice address
- 318 Abalone Loop
Mescalero, NM 88340 - Phone
- (505) 464-4441
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76791 | NM | MD | Registered Nurse |
| PN111281 | OH | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | PN111281 | OH | |
| Registered Nurse | 163W00000X | 76791 | NM | Yes |
Addresses
Primary practice location
318 Abalone Loop
Mescalero, NM 88340
Mailing address
927 Peach Circle
Tularosa, NM 88352
Phone (575) 585-3320
Other providers in Mescalero, NM
- John Lawrence Sickman
- Joaquin R Silva
- Lee David Simmons Jr.
- Sylvia K Smart
- Willymae Smith-McNeal
- Edward Manning Sprowl III
- Christopher Studds
- Denise M Torres
- Reginelle Tortilla
- Theresa Treas-Cornelius
All providers in Mescalero, NM · Registered Nurse in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.