Gail Elizabeth Smith Hendrickson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1547229 Issued in MN

Practice address

3344 Lindahl Rd
Duluth, MN 55810-9708

Phone

(218) 590-9336

NPI assigned

Oct 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gail Elizabeth Smith Former name

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1770735755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3344 LINDAHL RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558109708",
            "telephone_number": "218-590-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3344 LINDAHL RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558109708",
            "telephone_number": "218-590-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH HENDRICKSON",
        "first_name": "GAIL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "1547229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAIL",
            "last_name": "SMITH",
            "middle_name": "ELIZABETH",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shelly L Smart, MSW, LICSW
• SMDC Medical Center (Essentia Health Duluth)
• SMDC Medical Center (Essentia Health Duluth-Amberwing Clinic)
• SMDC Medical Center (Essentia Health Duluth (Rehab Unit))
• Katie Lynn Smedstad, DPT
• Bruce Robert Smith, MD
• Emma Elaina Smith
• Gabriela Bowers Smith, LICSW
• Grace Elizabeth Smith, OTR/L
• Harvey D Smith, M.D.

• Registered Nurse in Duluth, MN
• Providers in Duluth, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.