Heather M Smith, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200550118NP Issued in OR

Practice address

3202 SE 82ND Ave
Portland, OR 97266-2004

Phone

(503) 777-5995

Fax

(503) 777-8005

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Columbia Pharmacy LLC

  • Community/Retail Pharmacy
  • Portland, OR
  • NPI 1104121938
  NPD (past)
• County of Clackamas Office of County Auditor

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukie, OR
  • NPI 1245269315
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1740377084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 SE 82ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972662004",
            "telephone_number": "503-777-5995",
            "fax_number": "503-777-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 SE 82ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972662004",
            "telephone_number": "503-777-5995",
            "fax_number": "503-777-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HEATHER",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200550118NP",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "200550118NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grover Eugene Smith
• Haley Dutcher Smith, BS
• Haley Michelle Smith, MSN, FAMM
• Halle Ann Smith
• Heather Elizabeth Smith
• Hilary Smith, PT
• Ivy Smith
• Izetta Smith, MA
• Jaaron Smith, PSYD
• Jacob Smith, LMT

• Family Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.