Individual provider Active NPI

Peggy W Smith-Squier, RN, CNOR, RNFA

  • Registered Nurse First Assistant
  • Sun City Center, FL
National Provider Identifier
1780730093
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
518222 Issued in FL
Practice address
2009 E View Dr
Sun City Center, FL 33573-5184
Phone
(813) 641-8227
NPI assigned
Jan 27, 2007
Last updated
Apr 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 518222 FL Primary

Addresses

Primary practice location

2009 E View Dr
Sun City Center, FL 33573-5184

Mailing address

2009 E View Dr
Sun City Center, FL 33573-5184
Phone (813) 641-8227

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
518222FLMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
PRN Assisting LLC Registered Nurse First Assistant Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1780730093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 E VIEW DR",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735184",
            "telephone_number": "813-641-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 E VIEW DR",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735184",
            "telephone_number": "813-641-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-SQUIER",
        "first_name": "PEGGY",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "RN, CNOR, RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "518222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.