Makeshia Smith, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

822311 Issued in TX

Practice address

3640 W Waco Dr
Waco, TX 76710-5345

Phone

(254) 307-8607

NPI assigned

Jan 2, 2019

Last updated

Jan 2, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Pediatric Advanced Life Services Home Health LLC

  • Home Health Agency
  • Waco, TX
  • NPI 1649662495
  NPD (past)

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1811460876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ADDIE LN",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767051046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 W WACO DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105345",
            "telephone_number": "254-307-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MAKESHIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "822311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerrian Smith, RN
• Kylie Marie Smith, PA-C
• Lauren Corinne Smith, O.T.R./L
• Leslie P Smith, FNP
• Lorrie Smith, ANP
• Melissa Ann Smith, RN, IBCLC
• Michael Charles Smith, M.D.
• Michele Smith, LMSW
• Miranda Smith, MS, RD, LD
• Paul Alan Smith, D.O

• Pediatric Registered Nurse in Waco, TX
• Providers in Waco, TX by specialty
• Pediatric Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.