Individual provider Active NPI

Yashira M Marrero Smith, RN

  • Registered Nurse
  • Lake City, FL
National Provider Identifier
1750110847
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN315921 Issued in GA
Practice address
276 NW Burk Ave
Lake City, FL 32055-3730
Phone
(386) 344-3325
NPI assigned
Jul 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN315921 GA Primary

Addresses

Primary practice location

276 NW Burk Ave
Lake City, FL 32055-3730

Mailing address

17368 NW 173Rd Rd
Alachua, FL 32615-0069
Phone (251) 458-3904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN315921GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Five Star Nursing Staffing CurrentSince Aug 4, 2024 Accepting new patients
Yaya'S Casita Residential Group Home CurrentSince Aug 18, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1750110847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17368 NW 173RD RD",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326150069",
            "telephone_number": "251-458-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 NW BURK AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553730",
            "telephone_number": "386-344-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO SMITH",
        "first_name": "YASHIRA",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN315921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.