Individual provider Active NPI

Laurie A Smith, APRN

  • Women's Health Nurse Practitioner
  • Reno, NV
National Provider Identifier
1780855593
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN00177 Issued in NV
Practice address
6630 S McCarran Blvd Ste B18
Reno, NV 89509-6136
Phone
(775) 237-2833
Fax
(775) 237-2823
NPI assigned
Mar 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN00177 NV Primary

Addresses

Primary practice location

6630 S McCarran Blvd Ste B18
Reno, NV 89509-6136

Mailing address

6630 S McCarran Blvd Ste B18
Reno, NV 89509-6136
Phone (775) 237-2833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080522000079 NV Practitioner - Nurse Practitioner 3678642246 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Gynecology of Reno Poppen CurrentSince Sep 1, 2022 Accepting new patients

Locations

6630 S McCarran Blvd
Ste B18
Reno, NV 89509
Phone (775) 237-2833

6630 S McCarran Blvd
Ste 11
Reno, NV 89509
Phone (775) 237-2833

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1780855593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 S MCCARRAN BLVD STE B18",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096136",
            "telephone_number": "775-237-2833",
            "fax_number": "775-237-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 S MCCARRAN BLVD STE B18",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096136",
            "telephone_number": "775-237-2833",
            "fax_number": "775-237-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAURIE",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NV",
            "license": "APRN00177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.