Individual provider Active NPI

Roxanne Ixchel Smiley, RN, PHN

  • Community Health Registered Nurse
  • Oroville, CA
National Provider Identifier
1821362781
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
778317 Issued in CA
Practice address
82 Table Mountain Blvd
Suite 20
Oroville, CA 95965-3578
Phone
(530) 538-6139
Fax
(530) 538-5279
NPI assigned
Feb 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 778317 CA Primary

Addresses

Primary practice location

82 Table Mountain Blvd
Suite 20
Oroville, CA 95965-3578

Mailing address

82 Table Mountain Blvd
Suite 20
Oroville, CA 95965-3578
Phone (530) 538-6139

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
778317CAMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1821362781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 TABLE MOUNTAIN BLVD",
            "address_2": "SUITE 20",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959653578",
            "telephone_number": "530-538-6139",
            "fax_number": "530-538-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 TABLE MOUNTAIN BLVD",
            "address_2": "SUITE 20",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959653578",
            "telephone_number": "530-538-6139",
            "fax_number": "530-538-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILEY",
        "first_name": "ROXANNE",
        "middle_name": "IXCHEL",
        "credential": "RN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "778317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oroville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.