Fredrica E Smith, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

NM7369 Issued in NM

Practice address

3917 West Road
Suite D
Los Alamos, NM 87544

Phone

(505) 662-9400

Fax

(505) 662-3148

NPI assigned

Jan 12, 2006

Last updated

Jun 25, 2010By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fredrica E. Smith, M.D.

  • Rheumatology Physician
  • Los Alamos, NM
  • NPI 1619150323
  NPD (past) Authorized official

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1780663369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 WEST ROAD",
            "address_2": "SUITE D",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "87544",
            "telephone_number": "505-662-9400",
            "fax_number": "505-662-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 WEST ROAD",
            "address_2": "SUITE D",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "87544",
            "telephone_number": "505-662-9400",
            "fax_number": "505-662-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "FREDRICA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NM",
            "license": "NM7369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26005",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Shin, O.D.
• Samia Sibley, RD, LD
• Susan Skelton, C.F.N.P.
• Benjamin Cedric Slattery
• Mary Ellen Slaughter, MD
• Lisa Regalado Smith, PH.D.
• Nicholette Smith
• Smiths Food & Drug Centers Inc (Smiths Pharmacy #467)
• Monica J Snowden, M.D.
• Frederick H Soon, R.PH.

• Rheumatology Physician in Los Alamos, NM
• Providers in Los Alamos, NM by specialty
• Rheumatology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.