Mary Ann Smith

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

13788 Issued in WV

Practice address

417 Grand Park Dr Ste 203
Parkersburg, WV 26105-4049

Phone

(681) 391-8137

NPI assigned

Sep 22, 2022

Last updated

Sep 22, 2022By 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

State licenses

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1811610074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 GRAND PARK DR STE 203",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261054049",
            "telephone_number": "304-422-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 GRAND PARK DR STE 203",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261054049",
            "telephone_number": "681-391-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "WV",
            "license": "13788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rose Smith
• Judith Dawn Smith, BEHAVIORAL TECH
• Julia Ellen Smith
• Kathy Smith
• Larry Dale Smith
• Nancy Leah Smith
• Natasha Smith
• Sara Smith
• Sara Smith
• Sarah Smith, NP

• Licensed Vocational Nurse in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Licensed Vocational Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.