Owen Woodfield Smith, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R213409 Issued in MD

Practice address

620 N Caroline St
Baltimore, MD 21205-1839

Phone

(410) 396-9410

Fax

(410) 396-9437

NPI assigned

Jul 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1760968291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N CAROLINE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051895",
            "telephone_number": "410-396-9410",
            "fax_number": "410-396-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N CAROLINE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051839",
            "telephone_number": "410-396-9410",
            "fax_number": "410-396-9437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 E Monument St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870027",
            "country_code": "US",
            "telephone_number": "410-955-1725",
            "fax_number": "410-955-7733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "OWEN",
        "middle_name": "WOODFIELD",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R213409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE - MARYLAND BOARD OF NURSING",
            "identifier": "R213409",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Cole Smith
• Nicole Lynn Smith
• Noel Smith
• Nurah Smith
• Odell Artto Smith Jr., OPTICIAN
• Patricia Ann Smith, LCSW-C
• Paulette S Smith, LCSW-C
• Peter Ian Smith, MD
• Peter Joseph Smith, PHD LCSW C
• Peter M Smith, PSYD

• Registered Nurse in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.