Peggy Rose Smith

Primary specialty

DoulaTaxonomy code 374J00000X

License

6399-46 Issued in CA

Practice address

6911 38TH PL NE
Marysville, WA 98270-7554

Phone

(425) 268-8017

NPI assigned

Dec 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Rose Smith Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608422400000",
    "number": "1760078018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 38TH PL NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707554",
            "telephone_number": "425-268-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 38TH PL NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707554",
            "telephone_number": "425-268-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PEGGY",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-20",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "9023-53",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "CA",
            "license": "6399-46",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "SMITH",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hannah Nicole Skinner, OTD
• Torrie Skrinski-Overall, LMT
• Michael Slack, PSY.D
• Chad Miller Slaven, DDS
• Andrea Nicole Smiley, DPT
• Ray F Smith, MD
• Devon Snider
• Kelsey Snyder, PHARMD
• Roselee Ann Soch Sr., CERTIFIED NURSES AID
• Kenneth Lynn Sonderleiter Sr., D.C.

• Doula in Marysville, WA
• Providers in Marysville, WA by specialty
• Doula in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; 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.